LYNBROOK LUXURY DENTAL,PC
NPI: 1265076459
· LYNBROOK, NY 11563
· General Practice Dentistry
· NPI assigned 10/31/2019
$100K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
348 |
$9K |
| 2021 |
460 |
$13K |
| 2022 |
1,068 |
$34K |
| 2023 |
879 |
$23K |
| 2024 |
824 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,134 |
1,134 |
$49K |
| D0120 |
Periodic oral evaluation - established patient |
1,458 |
1,457 |
$32K |
| D2752 |
|
12 |
12 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
546 |
542 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
277 |
276 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
41 |
41 |
$1K |
| D0274 |
Bitewings - four radiographic images |
60 |
60 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$283.40 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$125.64 |
| D1999 |
|
13 |
13 |
$0.00 |