NORTH LAKEWOOD DENTAL PLCC
NPI: 1154617942
· LAKEWOOD, WA 98499
· Dentist
· NPI assigned 06/21/2011
Provider Details
| Authorized Official | PROBST, TRAVIS (DENTIST) |
| NPI Enumeration Date | 06/21/2011 |
Related Entities
Other providers sharing the same authorized official: PROBST, TRAVIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
273 |
$1K |
| 2019 |
1,785 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
320 |
258 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
411 |
350 |
$6K |
| D1120 |
Prophylaxis - child |
299 |
276 |
$5K |
| D0274 |
Bitewings - four radiographic images |
180 |
159 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
47 |
16 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
283 |
233 |
$2K |
| D1351 |
Sealant - per tooth |
64 |
18 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
56 |
56 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
51 |
45 |
$940.00 |
| D1110 |
Prophylaxis - adult |
34 |
30 |
$870.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
313 |
192 |
$779.73 |