KEVIN C. LUCKY DDS PLLC
NPI: 1235258757
· BECKLEY, WV 25801
· Dental Clinic/Center
· NPI assigned 03/28/2007
Provider Details
| Authorized Official | LUCKY, KEVIN (OWNER) |
| NPI Enumeration Date | 03/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$275.00 |
| 2019 |
114 |
$2K |
| 2021 |
20 |
$563.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
67 |
57 |
$1K |
| D1110 |
Prophylaxis - adult |
34 |
24 |
$778.40 |
| D1208 |
Topical application of fluoride, excluding varnish |
31 |
27 |
$365.00 |
| D1120 |
Prophylaxis - child |
15 |
13 |
$305.00 |