LAKESHORE FAMILY DENTAL CARE
NPI: 1013571322
· WHITEHALL, MI 49461
· Dental Clinic/Center
· NPI assigned 04/23/2019
Provider Details
| Authorized Official | DICE, BRITNEY (OFFICE MANAGER) |
| NPI Enumeration Date | 04/23/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$511.02 |
| 2021 |
78 |
$2K |
| 2022 |
383 |
$9K |
| 2023 |
543 |
$13K |
| 2024 |
301 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
382 |
382 |
$12K |
| D1206 |
Topical application of fluoride varnish |
501 |
501 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
413 |
413 |
$8K |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$291.50 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$284.32 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$116.53 |