HAPPY SMILE FAMILY DENTAL, PLLC
NPI: 1841657715
· STERLING HEIGHTS, MI 48314
· Dental Clinic/Center
· NPI assigned 01/25/2016
$495K
Total Medicaid Paid
Provider Details
| Authorized Official | SALAM, MOHAMMAD (OWNER DENTIST) |
| NPI Enumeration Date | 01/25/2016 |
Related Entities
Other providers sharing the same authorized official: SALAM, MOHAMMAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,107 |
$15K |
| 2019 |
1,351 |
$26K |
| 2020 |
1,099 |
$27K |
| 2021 |
2,233 |
$56K |
| 2022 |
2,907 |
$79K |
| 2023 |
3,852 |
$194K |
| 2024 |
2,729 |
$99K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
2,793 |
2,782 |
$67K |
| D1110 |
Prophylaxis - adult |
1,459 |
1,451 |
$62K |
| D4341 |
|
387 |
133 |
$55K |
| D1120 |
Prophylaxis - child |
1,162 |
1,162 |
$47K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,447 |
1,430 |
$44K |
| D0330 |
Panoramic radiographic image |
690 |
687 |
$43K |
| D1206 |
Topical application of fluoride varnish |
1,460 |
1,460 |
$37K |
| D0274 |
Bitewings - four radiographic images |
1,511 |
1,489 |
$37K |
| D0140 |
Limited oral evaluation - problem focused |
973 |
964 |
$30K |
| D7140 |
Extraction, erupted tooth or exposed root |
250 |
161 |
$21K |
| D0220 |
Intraoral - periapical first radiographic image |
1,803 |
1,755 |
$17K |
| D4355 |
|
209 |
206 |
$12K |
| D2950 |
|
63 |
49 |
$9K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
80 |
38 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
991 |
670 |
$5K |