LY DENTAL CORPORATION
NPI: 1316495880
· WESTMINSTER, CA 92683
· General Practice Dentistry
· NPI assigned 09/14/2016
Provider Details
| Authorized Official | LY, QUY (PRESIDENT) |
| NPI Enumeration Date | 09/14/2016 |
Related Entities
Other providers sharing the same authorized official: LY, QUY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,386 |
$38K |
| 2019 |
1,888 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
375 |
373 |
$28K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,443 |
399 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
241 |
241 |
$10K |
| D4910 |
|
121 |
121 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
142 |
142 |
$7K |
| D4341 |
|
91 |
24 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
500 |
499 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
37 |
37 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
29 |
13 |
$2K |
| D0272 |
Bitewings - two radiographic images |
120 |
119 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
112 |
110 |
$1K |
| D1120 |
Prophylaxis - child |
19 |
19 |
$570.00 |
| D0350 |
|
44 |
29 |
$441.60 |