LINCOLN SMILES DENTISTRY, LLC
NPI: 1255098885
· LINCOLN, ME 04457
· Dental Clinic/Center
· NPI assigned 11/18/2021
$792.68
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
28 |
$792.68 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$448.84 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$343.84 |