LOUSCHER FAMILY DENTISTRY LLC
NPI: 1437276011
· EMMETSBURG, IA 50536
· General Practice Dentistry
· NPI assigned 03/26/2007
$210K
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 |
2,716 |
$65K |
| 2019 |
2,025 |
$48K |
| 2020 |
849 |
$20K |
| 2021 |
896 |
$22K |
| 2022 |
790 |
$20K |
| 2023 |
945 |
$24K |
| 2024 |
418 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,438 |
2,422 |
$91K |
| D0120 |
Periodic oral evaluation - established patient |
3,094 |
3,073 |
$56K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,006 |
1,993 |
$33K |
| D0274 |
Bitewings - four radiographic images |
653 |
646 |
$16K |
| D1120 |
Prophylaxis - child |
238 |
232 |
$6K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
97 |
69 |
$6K |
| D7140 |
Extraction, erupted tooth or exposed root |
19 |
13 |
$972.23 |
| D0220 |
Intraoral - periapical first radiographic image |
69 |
68 |
$700.43 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$521.05 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$353.90 |