DR. SAMUEL LU P.C.
NPI: 1528849791
· AGAWAM, MA 01001
· General Practice Dentistry
· NPI assigned 10/12/2023
Provider Details
| Authorized Official | LU, SAMUEL (DIRECTOR) |
| NPI Enumeration Date | 10/12/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
524 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
130 |
129 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
106 |
102 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
91 |
90 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
99 |
94 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
55 |
54 |
$1K |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$626.00 |
| D9110 |
|
14 |
13 |
$490.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$478.00 |