LOWERY HAEMIG DENTAL PLLC
NPI: 1366754608
· CUT BANK, MT 59427
· General Practice Dentistry
· NPI assigned 07/01/2010
$184K
Total Medicaid Paid
Provider Details
| Authorized Official | LOWERY, STEVE (PRESIDENT) |
| NPI Enumeration Date | 07/01/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,145 |
$28K |
| 2019 |
1,066 |
$26K |
| 2020 |
1,040 |
$25K |
| 2021 |
1,109 |
$26K |
| 2022 |
1,398 |
$31K |
| 2023 |
1,108 |
$26K |
| 2024 |
973 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,135 |
2,036 |
$75K |
| D0120 |
Periodic oral evaluation - established patient |
2,400 |
2,288 |
$56K |
| D1206 |
Topical application of fluoride varnish |
1,765 |
1,678 |
$31K |
| D0272 |
Bitewings - two radiographic images |
398 |
385 |
$9K |
| D0603 |
|
919 |
866 |
$9K |
| D0274 |
Bitewings - four radiographic images |
72 |
72 |
$3K |
| D1310 |
|
28 |
25 |
$882.17 |
| D0601 |
|
82 |
79 |
$810.08 |
| D1330 |
|
28 |
25 |
$513.66 |
| D0602 |
|
12 |
12 |
$123.86 |