SIGNATURE SMILE DENTAL LLC
NPI: 1881163822
· BRISTOL, PA 19007
· General Practice Dentistry
· NPI assigned 11/20/2018
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
632 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
122 |
118 |
$3K |
| D0330 |
Panoramic radiographic image |
69 |
66 |
$2K |
| D1110 |
Prophylaxis - adult |
49 |
48 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
82 |
77 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
136 |
133 |
$949.79 |
| D0230 |
Intraoral - periapical each additional radiographic image |
132 |
129 |
$855.91 |
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$537.15 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
13 |
$229.32 |