KAREN BRYANT LUCKETT,DMD,PLLC
NPI: 1386051993
· MCCOMB, MS 39648
· Dental Clinic/Center
· NPI assigned 07/15/2014
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LUCKETT, KAREN (OWNER/MEMBER) |
| NPI Enumeration Date | 07/15/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
595 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
224 |
60 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
147 |
45 |
$0.00 |
| D1120 |
Prophylaxis - child |
224 |
60 |
$0.00 |