LYONS DENTAL CARE, LLC
NPI: 1043315971
· LYONS, KS 67554
· General Practice Dentistry
· NPI assigned 09/14/2006
$123K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PERRY, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
541 |
$12K |
| 2019 |
1,052 |
$24K |
| 2020 |
757 |
$16K |
| 2021 |
754 |
$18K |
| 2022 |
764 |
$19K |
| 2023 |
736 |
$17K |
| 2024 |
746 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,422 |
1,389 |
$42K |
| D0120 |
Periodic oral evaluation - established patient |
1,778 |
1,711 |
$37K |
| D1206 |
Topical application of fluoride varnish |
1,406 |
1,370 |
$24K |
| D0272 |
Bitewings - two radiographic images |
441 |
430 |
$9K |
| D1110 |
Prophylaxis - adult |
169 |
157 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
42 |
24 |
$3K |
| D0274 |
Bitewings - four radiographic images |
80 |
79 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$337.00 |