ABSOLUTE SMILES FAMILY DENTISTRY
NPI: 1962702555
· TUTTLE, OK 73089
· General Practice Dentistry
· NPI assigned 10/28/2010
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
488 |
$9K |
| 2019 |
226 |
$4K |
| 2020 |
222 |
$5K |
| 2021 |
184 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
384 |
384 |
$7K |
| D1206 |
Topical application of fluoride varnish |
520 |
518 |
$7K |
| D1120 |
Prophylaxis - child |
146 |
146 |
$4K |
| D1110 |
Prophylaxis - adult |
70 |
70 |
$3K |