ANDERSON-MARTIN-LACEY-ANTHOLZ DENTISTS, PC
NPI: 1093722118
· LINCOLN, NE 68510
· General Practice Dentistry
· NPI assigned 08/02/2006
Provider Details
| Authorized Official | MARTIN, MAX (OWNER/SECRETARY) |
| NPI Enumeration Date | 08/02/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
150 |
$3K |
| 2019 |
108 |
$3K |
| 2020 |
167 |
$3K |
| 2021 |
459 |
$12K |
| 2022 |
328 |
$9K |
| 2023 |
327 |
$9K |
| 2024 |
158 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
998 |
997 |
$24K |
| D1110 |
Prophylaxis - adult |
306 |
306 |
$11K |
| D1206 |
Topical application of fluoride varnish |
93 |
93 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
104 |
104 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
26 |
26 |
$1K |
| D1999 |
|
100 |
89 |
$990.00 |
| D1120 |
Prophylaxis - child |
31 |
31 |
$866.34 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$271.82 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$114.60 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$86.52 |