CHARLES F. LYDY, D.D.S., P.C.
NPI: 1093966640
· SAGINAW, MI 48638
· General Practice Dentistry
· NPI assigned 10/01/2008
Provider Details
| Authorized Official | LYDY, CHARLES (PRESIDENT) |
| NPI Enumeration Date | 10/01/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
704 |
$23K |
| 2021 |
1,333 |
$43K |
| 2022 |
838 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
947 |
946 |
$24K |
| D1110 |
Prophylaxis - adult |
474 |
473 |
$22K |
| D1120 |
Prophylaxis - child |
539 |
539 |
$20K |
| D1206 |
Topical application of fluoride varnish |
689 |
689 |
$15K |
| D0274 |
Bitewings - four radiographic images |
159 |
159 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
19 |
12 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
22 |
12 |
$2K |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$575.00 |