NORTH LIBERTY SMILES PLLC
NPI: 1912466582
· NORTH LIBERTY, IA 52317
· General Practice Dentistry
· NPI assigned 03/13/2019
Provider Details
| Authorized Official | CHANG, PE (OWNER) |
| NPI Enumeration Date | 03/13/2019 |
Related Entities
Other providers sharing the same authorized official: CHANG, PE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
396 |
$14K |
| 2020 |
83 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
63 |
16 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
66 |
63 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
129 |
112 |
$3K |
| D1110 |
Prophylaxis - adult |
74 |
64 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
126 |
101 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
21 |
20 |
$511.80 |