LAKE FOREST FAMILY DENTAL PC
NPI: 1023614872
· MCKINNEY, TX 75071
· Dental Clinic/Center
· NPI assigned 12/08/2020
Provider Details
| Authorized Official | CHA, STEVE (PRESIDENT) |
| NPI Enumeration Date | 12/08/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,008 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
148 |
148 |
$4K |
| D1120 |
Prophylaxis - child |
92 |
92 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
26 |
12 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
163 |
163 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
169 |
167 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
167 |
164 |
$2K |
| D0272 |
Bitewings - two radiographic images |
41 |
41 |
$841.68 |
| D0603 |
|
202 |
200 |
$0.00 |