SUPER SMILES MARICOPA PLLC
NPI: 1891556502
· MARICOPA, AZ 85139
· Pediatric Dentist
· NPI assigned 01/19/2024
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
368 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
72 |
71 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
79 |
78 |
$2K |
| D1206 |
Topical application of fluoride varnish |
108 |
105 |
$2K |
| D0274 |
Bitewings - four radiographic images |
51 |
51 |
$2K |
| D0240 |
|
44 |
17 |
$361.99 |
| D0603 |
|
14 |
14 |
$0.00 |