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LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
NPI: 1518352939
· ERIE, PA 16509
· General Practice Dentistry
· NPI assigned 04/02/2015
1,105
Beneficiary Records
Provider Details
| Authorized Official | INMAN, STEVEN (VP FISCAL AFFAIRS/CFO) |
| Parent Organization | MILLCREEK HEALTH SYSTEM |
| NPI Enumeration Date | 04/02/2015 |
Related Entities
Other providers sharing the same authorized official: INMAN, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,184 |
$37K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
204 |
203 |
$7K |
| D7140 |
Extraction, erupted tooth or exposed root |
102 |
38 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
204 |
204 |
$4K |
| D1120 |
Prophylaxis - child |
131 |
131 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
198 |
198 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
78 |
78 |
$4K |
| D1206 |
Topical application of fluoride varnish |
187 |
187 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
51 |
40 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
16 |
13 |
$794.90 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$364.00 |