LAKE COUNTY DENTAL LTD
NPI: 1558361667
· BRAINERD, MN 56401
· Dentist
· NPI assigned 07/29/2005
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
496 |
$12K |
| 2020 |
373 |
$9K |
| 2021 |
462 |
$12K |
| 2022 |
353 |
$14K |
| 2023 |
156 |
$5K |
| 2024 |
105 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,027 |
1,015 |
$24K |
| D1110 |
Prophylaxis - adult |
575 |
567 |
$22K |
| D0274 |
Bitewings - four radiographic images |
222 |
222 |
$6K |
| D1120 |
Prophylaxis - child |
78 |
78 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
15 |
12 |
$789.15 |
| D1206 |
Topical application of fluoride varnish |
28 |
28 |
$427.18 |