LUMINAIS, KEITH
NPI: 1114137833
· BOGALUSA, LA 70427
· General Practice Dentistry
· NPI assigned 05/23/2007
$132K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
16 |
$408.19 |
| 2022 |
432 |
$12K |
| 2023 |
1,958 |
$72K |
| 2024 |
1,125 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
935 |
749 |
$40K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
577 |
441 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
673 |
588 |
$18K |
| D0210 |
Intraoral - complete series of radiographic images |
390 |
276 |
$17K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
236 |
78 |
$15K |
| D0272 |
Bitewings - two radiographic images |
297 |
264 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
272 |
258 |
$6K |
| D1120 |
Prophylaxis - child |
151 |
143 |
$5K |