I SMILE LAWRENCEVILLE PC
NPI: 1982260964
· LAWRENCEVILLE, NJ 08648
· Dentist
· NPI assigned 05/15/2019
Provider Details
Related Entities
Other providers sharing the same authorized official: KARAGODSKY, DMITRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
168 |
$8K |
| 2020 |
297 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2751 |
Crown - porcelain fused to predominantly base metal |
16 |
12 |
$5K |
| D1110 |
Prophylaxis - adult |
168 |
168 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
166 |
166 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
57 |
57 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$860.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$135.00 |