HOMETOWN SMILES DENTISTRY AND ORTHODONTICS
NPI: 1851071906
· LEBANON, KY 40033
· Dental Clinic/Center
· NPI assigned 07/24/2023
Provider Details
Related Entities
Other providers sharing the same authorized official: LEWIS, VIRGINIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
273 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
83 |
58 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
91 |
72 |
$2K |
| D1206 |
Topical application of fluoride varnish |
58 |
45 |
$825.00 |
| D0274 |
Bitewings - four radiographic images |
41 |
25 |
$810.82 |