SMITH, BRIAN
NPI: 1902236268
· STORM LAKE, IA 50588
· General Practice Dentistry
· NPI assigned 11/22/2013
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
91 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9999 |
Unspecified adjunctive procedure, by report |
13 |
13 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
30 |
30 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
30 |
30 |
$0.00 |
| D1120 |
Prophylaxis - child |
18 |
18 |
$0.00 |