LUCACHICK DENTAL OFFICE, P.A.
NPI: 1346307394
· INTERNATIONAL FALLS, MN 56649
· Dental Clinic/Center
· NPI assigned 01/02/2007
$356K
Total Medicaid Paid
Provider Details
| Authorized Official | LUCACHICK, GARY (OWNER DENTIST PRESIDENT) |
| NPI Enumeration Date | 01/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,727 |
$6K |
| 2019 |
2,182 |
$95K |
| 2020 |
1,370 |
$52K |
| 2021 |
1,471 |
$55K |
| 2022 |
1,284 |
$50K |
| 2023 |
1,364 |
$53K |
| 2024 |
1,131 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,752 |
1,734 |
$86K |
| D0120 |
|
3,190 |
3,156 |
$85K |
| D1120 |
|
1,272 |
1,264 |
$41K |
| D7140 |
|
466 |
217 |
$33K |
| D0272 |
|
1,070 |
1,058 |
$27K |
| D0330 |
|
386 |
375 |
$21K |
| D2392 |
|
459 |
277 |
$21K |
| D1206 |
|
1,434 |
1,423 |
$19K |
| D2391 |
|
170 |
100 |
$6K |
| D2150 |
|
62 |
37 |
$6K |
| D0150 |
|
114 |
113 |
$4K |
| D0140 |
|
90 |
78 |
$3K |
| D2140 |
|
33 |
12 |
$2K |
| D1351 |
|
31 |
12 |
$869.52 |