LC ELITE PLLC
NPI: 1487256392
· LEAGUE CITY, TX 77573
· Dentist
· NPI assigned 11/15/2020
Provider Details
| Authorized Official | ADEGUN, OREOLUWA (GENERAL DENTIST) |
| NPI Enumeration Date | 11/15/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
46 |
$470.57 |
| 2023 |
185 |
$2K |
| 2024 |
476 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
196 |
166 |
$2K |
| D1120 |
Prophylaxis - child |
56 |
50 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
45 |
39 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
70 |
56 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
156 |
121 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
86 |
66 |
$736.64 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$311.49 |
| D0601 |
|
73 |
69 |
$0.00 |
| D0603 |
|
13 |
13 |
$0.00 |