SMILE BRIGHT DENTURE CENTER LLC
NPI: 1912085390
· EVERETT, WA 98208
· Denturist
· NPI assigned 11/01/2006
$645.84
Total Medicaid Paid
Provider Details
| Authorized Official | PHAM, DUNG (DENTURIST) |
| Parent Organization | SMILE BRIGHT DENTURE CENTER, LLC |
| NPI Enumeration Date | 11/01/2006 |
Related Entities
Other providers sharing the same authorized official: PHAM, DUNG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
13 |
$645.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$645.84 |