LU, SAMUEL
NPI: 1235162124
· HOLYOKE, MA 01040
· General Practice Dentistry
· NPI assigned 07/07/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
128 |
$2K |
| 2021 |
441 |
$7K |
| 2022 |
744 |
$21K |
| 2023 |
52 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
481 |
472 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
532 |
521 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
60 |
59 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
233 |
226 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
30 |
15 |
$1K |
| D0274 |
Bitewings - four radiographic images |
29 |
29 |
$457.40 |