SMILEEASY DENTAL WHEATLAND, PLLC
NPI: 1982063467
· DALLAS, TX 75249
· Dentist
· NPI assigned 02/12/2016
$184K
Total Medicaid Paid
Provider Details
| Authorized Official | LE, LAN CHI (MANAGING MEMBER) |
| NPI Enumeration Date | 02/12/2016 |
Related Entities
Other providers sharing the same authorized official: LE, LAN CHI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
358 |
$4K |
| 2021 |
2,954 |
$48K |
| 2022 |
3,214 |
$57K |
| 2023 |
3,079 |
$59K |
| 2024 |
1,139 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,189 |
1,130 |
$30K |
| D1351 |
Sealant - per tooth |
1,095 |
227 |
$26K |
| D1110 |
Prophylaxis - adult |
524 |
493 |
$24K |
| D0274 |
Bitewings - four radiographic images |
725 |
682 |
$19K |
| D1120 |
Prophylaxis - child |
572 |
550 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,355 |
1,290 |
$18K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,582 |
1,132 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
1,261 |
1,195 |
$14K |
| D0350 |
|
1,016 |
976 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
54 |
47 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$2K |
| D0272 |
Bitewings - two radiographic images |
57 |
57 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
53 |
46 |
$1K |
| D0603 |
|
190 |
180 |
$0.05 |
| D1999 |
|
97 |
95 |
$0.00 |
| D0601 |
|
254 |
239 |
$0.00 |
| D0602 |
|
708 |
690 |
$0.00 |