TJ LOFTUS DENTAL P.C.
NPI: 1578624409
· STURGIS, SD 57785
· General Practice Dentistry
· NPI assigned 12/13/2006
$159K
Total Medicaid Paid
Provider Details
| Authorized Official | LOFTUS, TODD (OWNER) |
| NPI Enumeration Date | 12/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,128 |
$36K |
| 2019 |
1,172 |
$37K |
| 2020 |
501 |
$15K |
| 2021 |
799 |
$25K |
| 2022 |
604 |
$18K |
| 2023 |
628 |
$12K |
| 2024 |
428 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,822 |
1,809 |
$49K |
| D1110 |
Prophylaxis - adult |
650 |
650 |
$32K |
| D1120 |
Prophylaxis - child |
902 |
901 |
$32K |
| D1206 |
Topical application of fluoride varnish |
1,461 |
1,450 |
$32K |
| D0274 |
Bitewings - four radiographic images |
326 |
326 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
25 |
25 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
29 |
$437.34 |
| D1351 |
Sealant - per tooth |
45 |
12 |
$0.00 |