SMYRNA DENTAL CENTER
NPI: 1922259183
· SMYRNA, DE 19977
· Dentist
· NPI assigned 10/07/2008
$150K
Total Medicaid Paid
Provider Details
| Authorized Official | YERNENI, RAMA (PRESIDENT) |
| NPI Enumeration Date | 10/07/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,028 |
$26K |
| 2019 |
884 |
$26K |
| 2020 |
729 |
$12K |
| 2021 |
756 |
$17K |
| 2022 |
966 |
$25K |
| 2023 |
897 |
$25K |
| 2024 |
639 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,521 |
1,227 |
$50K |
| D1120 |
Prophylaxis - child |
1,040 |
919 |
$43K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,389 |
1,146 |
$34K |
| D1110 |
Prophylaxis - adult |
305 |
249 |
$17K |
| D0274 |
Bitewings - four radiographic images |
107 |
84 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
12 |
$614.88 |
| D0272 |
Bitewings - two radiographic images |
15 |
12 |
$397.30 |
| D0602 |
|
1,487 |
1,244 |
$0.00 |
| D0603 |
|
21 |
15 |
$0.00 |