LANE & ASSOCIATES XXII, DDS PA
NPI: 1285910455
· RALEIGH, NC 27609
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 11/01/2011
$133K
Total Medicaid Paid
Provider Details
| Authorized Official | BUTTS, PHILLIP (VP CONTRACTS AND DEVELOPMENT) |
| NPI Enumeration Date | 11/01/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,206 |
$91K |
| 2019 |
517 |
$40K |
| 2020 |
32 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,755 |
1,615 |
$133K |