LOUSCHER FAMILY DENTISTRY
NPI: 1376668970
· ALGONA, IA 50511
· General Practice Dentistry
· NPI assigned 03/20/2007
$293K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: LOUSCHER, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,459 |
$57K |
| 2019 |
1,743 |
$40K |
| 2020 |
1,340 |
$30K |
| 2021 |
1,753 |
$42K |
| 2022 |
1,806 |
$42K |
| 2023 |
1,933 |
$48K |
| 2024 |
1,381 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,843 |
2,822 |
$107K |
| D0120 |
Periodic oral evaluation - established patient |
4,758 |
4,731 |
$92K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,465 |
3,447 |
$58K |
| D0274 |
Bitewings - four radiographic images |
728 |
726 |
$18K |
| D1120 |
Prophylaxis - child |
560 |
556 |
$16K |
| D2140 |
|
18 |
12 |
$968.05 |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
41 |
$407.05 |