VINTAGE L DELAHOUSSAYE DDS APDC
NPI: 1407364730
· LAFAYETTE, LA 70503
· Dental Clinic/Center
· NPI assigned 01/22/2018
Provider Details
| Authorized Official | LEBLANC, VINTAGE (OWNER/PRESIDENT) |
| NPI Enumeration Date | 01/22/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
341 |
$7K |
| 2024 |
289 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
302 |
248 |
$6K |
| D1110 |
Prophylaxis - adult |
179 |
153 |
$6K |
| D1206 |
Topical application of fluoride varnish |
40 |
40 |
$1K |
| D0272 |
Bitewings - two radiographic images |
53 |
39 |
$944.51 |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
27 |
$639.87 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$455.26 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
13 |
$179.01 |