SMILE AVENUE FAMILY AND COSMETIC DENTISTRY
NPI: 1992414981
· COLDWATER, MI 49036
· General Practice Dentistry
· NPI assigned 11/17/2022
Provider Details
| Authorized Official | JUSKUSKY, MISTY (MANAGER) |
| NPI Enumeration Date | 11/17/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
214 |
$5K |
| 2024 |
424 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
308 |
308 |
$8K |
| D1120 |
Prophylaxis - child |
175 |
175 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
155 |
154 |
$4K |