LEXINGTON DENTAL CARE, PLLC
NPI: 1033314109
· LEXINGTON, MI 48450
· General Practice Dentistry
· NPI assigned 06/19/2007
$100K
Total Medicaid Paid
Provider Details
| Authorized Official | GALBRAITH, TARA (OFFICE MANAGER) |
| NPI Enumeration Date | 06/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
535 |
$17K |
| 2020 |
493 |
$14K |
| 2021 |
670 |
$18K |
| 2022 |
717 |
$21K |
| 2023 |
610 |
$19K |
| 2024 |
340 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,259 |
1,259 |
$33K |
| D1120 |
Prophylaxis - child |
836 |
836 |
$31K |
| D1206 |
Topical application of fluoride varnish |
843 |
843 |
$20K |
| D1110 |
Prophylaxis - adult |
236 |
236 |
$12K |
| D0272 |
Bitewings - two radiographic images |
153 |
153 |
$3K |
| D0274 |
Bitewings - four radiographic images |
38 |
38 |
$1K |