Clinic
Edward William Lake DDS PC
Edward William Lake DDS PC was paid $106K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 34% of everything it billed.
33Billing provider infoEDWARD WILLIAM LAKE DDS PC
POTOSI, MO 63664
POTOSI, MO 63664
33aNPI1063676369assigned 07/16/2008
33bProvider typeDental Clinic/Center
28Total paid$106K
24GClaims3,526
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Missouri
Rank by total paid#9 of 27
Median peer was paid$9K
This provider vs. median12×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 747 | $19K | |
| 2019 | 624 | $16K | |
| 2020 | 437 | $8K | |
| 2021 | 675 | $16K | |
| 2022 | 475 | $19K | |
| 2023 | 328 | $15K | |
| 2024incomplete | 240 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 34% | 1,607 | 1,292 | $36K |
| D1110 | Prophylaxis - adult | 28% | 768 | 730 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 298 | 284 | $15K |
| D0330 | Panoramic radiographic image | 10% | 202 | 195 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 6.1% | 280 | 264 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.3% | 122 | 121 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 34 | 12 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 133 | 118 | $1K |
| D0272 | Bitewings - two radiographic images | 1.2% | 64 | 63 | $1K |
| D9212 | <1% | 18 | 14 | $882.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLAKE, EDWARD (PRESIDENT)