THOMAS M SMITH DDS PLC
NPI: 1952159691
· NORTON SHORES, MI 49441
· General Practice Dentistry
· NPI assigned 05/08/2024
$211.75
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, THOMAS (DENTIST) |
| NPI Enumeration Date | 05/08/2024 |
Related Entities
Other providers sharing the same authorized official: SMITH, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
12 |
$211.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$211.75 |