NPI: 1982294641 · HAMPDEN, ME 04444 · Dental Hygienist · NPI assigned 01/26/2021
| Authorized Official | SMITH-DOW, FLESHIA (WONER/PARTNER) |
| NPI Enumeration Date | 01/26/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 371 | $8K |
| 2023 | 3,058 | $80K |
| 2024 | 2,928 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 1,557 | 1,493 | $37K |
| D0190 | 1,830 | 1,732 | $37K | |
| D1110 | Prophylaxis - adult | 335 | 326 | $22K |
| D1310 | 899 | 860 | $21K | |
| D1120 | Prophylaxis - child | 391 | 372 | $19K |
| D0274 | Bitewings - four radiographic images | 226 | 221 | $10K |
| D1354 | 394 | 45 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | 283 | 277 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 272 | 256 | $4K |
| D1351 | Sealant - per tooth | 117 | 13 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 39 | 38 | $3K |
| D1330 | 14 | 13 | $270.16 |