DENTAL ASSOCIATES OF FLORIDA (LAKELAND) PLLC
NPI: 1518417336
· LAKELAND, FL 33803
· Dentist
· NPI assigned 10/05/2016
$221K
Total Medicaid Paid
Provider Details
| Authorized Official | TASSONE, DEAN (SVP INSURANCE) |
| NPI Enumeration Date | 10/05/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
320 |
$51K |
| 2023 |
1,258 |
$153K |
| 2024 |
194 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
595 |
197 |
$192K |
| D9310 |
|
440 |
436 |
$23K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
309 |
292 |
$5K |
| D9222 |
|
299 |
292 |
$531.56 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
33 |
15 |
$288.68 |
| D0330 |
Panoramic radiographic image |
66 |
65 |
$75.00 |
| D7921 |
|
30 |
29 |
$0.00 |