ALEXANDRIA SMILE CENTER LLC
NPI: 1992390793
· ALEXANDRIA, LA 71303
· Dental Clinic/Center
· NPI assigned 03/03/2021
Provider Details
| Authorized Official | MOYLAN, JOHN (OWNER/MEMBER) |
| NPI Enumeration Date | 03/03/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
368 |
$33K |
| 2024 |
368 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
46 |
41 |
$28K |
| D2950 |
|
56 |
45 |
$10K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
150 |
142 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
246 |
222 |
$5K |
| D2931 |
|
12 |
12 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
119 |
119 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
80 |
60 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$995.76 |