SMILE TEAM
NPI: 1871267054
· UPPER DARBY, PA 19082
· Dentist
· NPI assigned 08/02/2021
Provider Details
Related Entities
Other providers sharing the same authorized official: DOESCHER, BANSI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,389 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
259 |
246 |
$8K |
| D0274 |
Bitewings - four radiographic images |
275 |
262 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
34 |
32 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
115 |
111 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
283 |
269 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
113 |
101 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
267 |
251 |
$2K |
| D0601 |
|
14 |
14 |
$130.00 |
| D1330 |
|
15 |
15 |
$70.00 |
| D1310 |
|
14 |
14 |
$65.00 |