THREE LAKES DENTAL, P.C.
NPI: 1497002216
· TALLASSEE, AL 36078
· General Practice Dentistry
· NPI assigned 08/10/2012
Provider Details
| Authorized Official | HARRIS, ERIC (OWNER, DENTIST) |
| NPI Enumeration Date | 08/10/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
25 |
$600.00 |
| 2024 |
71 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
57 |
57 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
25 |
$521.60 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$465.80 |