GENTLE TEETH OF PEMBROKE PINES
NPI: 1902382815
· PEMBROKE PINES, FL 33026
· Dental Clinic/Center
· NPI assigned 07/13/2018
Provider Details
| Authorized Official | SAMUEL, SYDNEE (OFFICE MANAGER) |
| NPI Enumeration Date | 07/13/2018 |
Related Entities
Other providers sharing the same authorized official: SAMUEL, SYDNEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
387 |
$3K |
| 2024 |
4,141 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
499 |
489 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
862 |
838 |
$5K |
| D1120 |
Prophylaxis - child |
534 |
525 |
$4K |
| D1110 |
Prophylaxis - adult |
225 |
212 |
$3K |
| D1330 |
|
826 |
803 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
124 |
124 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
76 |
76 |
$1K |
| D0272 |
Bitewings - two radiographic images |
232 |
228 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
542 |
446 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
457 |
377 |
$658.68 |
| D0274 |
Bitewings - four radiographic images |
28 |
27 |
$232.05 |
| D0191 |
|
123 |
123 |
$10.45 |