ANGEL SMILES PEDIATRIC DENTISTRY,P.C
NPI: 1871746933
· BERWYN, PA 19312
· Pediatric Dentist
· NPI assigned 11/02/2008
Provider Details
| Authorized Official | CAO, SHURONG (BUSINESS OWNER) |
| NPI Enumeration Date | 11/02/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$280.70 |
| 2024 |
153 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
91 |
88 |
$827.59 |
| D0120 |
Periodic oral evaluation - established patient |
47 |
46 |
$376.25 |
| D1120 |
Prophylaxis - child |
29 |
29 |
$213.61 |