SENIOR DENTAL CARE OF LOUISIANA
NPI: 1225379480
· BLOUNTSTOWN, FL 32424
· Dentist
· NPI assigned 03/12/2013
Provider Details
| Authorized Official | LAYNE, TONY (MANAGER) |
| NPI Enumeration Date | 03/12/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
269 |
$9K |
| 2019 |
403 |
$15K |
| 2020 |
14 |
$322.00 |
| 2021 |
195 |
$6K |
| 2022 |
52 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
307 |
307 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
495 |
495 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
131 |
131 |
$5K |