LFD DENTAL PLLC
NPI: 1194494773
· DALLAS, TX 75216
· General Practice Dentistry
· NPI assigned 09/08/2021
$198K
Total Medicaid Paid
Provider Details
| Authorized Official | SEMERA, TEE (DIRECTOR OF COMPLIANCE) |
| NPI Enumeration Date | 09/08/2021 |
Related Entities
Other providers sharing the same authorized official: SEMERA, TEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
879 |
$12K |
| 2022 |
4,206 |
$66K |
| 2023 |
4,986 |
$85K |
| 2024 |
2,165 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
3,031 |
1,282 |
$26K |
| D1351 |
Sealant - per tooth |
1,320 |
194 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
1,059 |
1,022 |
$24K |
| D1110 |
Prophylaxis - adult |
482 |
465 |
$21K |
| D0274 |
Bitewings - four radiographic images |
687 |
656 |
$19K |
| D0145 |
Oral evaluation for a patient under three years of age |
163 |
160 |
$17K |
| D1120 |
Prophylaxis - child |
638 |
617 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
527 |
486 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
1,580 |
1,465 |
$15K |
| D1206 |
Topical application of fluoride varnish |
930 |
899 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
117 |
110 |
$7K |
| D0272 |
Bitewings - two radiographic images |
28 |
24 |
$561.12 |
| D0601 |
|
872 |
843 |
$0.00 |
| D0603 |
|
601 |
579 |
$0.00 |
| D0602 |
|
201 |
195 |
$0.00 |