CENTRAL PARK DENTISTRY
NPI: 1427079201
· MASON CITY, IA 50401
· General Practice Dentistry
· NPI assigned 07/21/2006
$325K
Total Medicaid Paid
Provider Details
| Authorized Official | LALA, JAY (OWNER) |
| NPI Enumeration Date | 07/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,218 |
$21K |
| 2019 |
1,782 |
$33K |
| 2020 |
2,002 |
$40K |
| 2021 |
2,478 |
$45K |
| 2022 |
2,716 |
$49K |
| 2023 |
3,641 |
$71K |
| 2024 |
3,014 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
6,804 |
6,588 |
$103K |
| D0120 |
Periodic oral evaluation - established patient |
5,795 |
5,611 |
$98K |
| D1110 |
Prophylaxis - adult |
2,011 |
1,950 |
$65K |
| D1120 |
Prophylaxis - child |
1,715 |
1,665 |
$46K |
| D0274 |
Bitewings - four radiographic images |
464 |
449 |
$10K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
22 |
12 |
$1K |
| D0272 |
Bitewings - two radiographic images |
27 |
27 |
$458.56 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$344.52 |