LAMPREY FAMILY DENTAL LLC
NPI: 1578833083
· RAYMOND, NH 03077
· Dentist
· NPI assigned 01/01/2012
$848.40
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: KROTHAPALLI, NANARAO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
24 |
$618.72 |
| 2022 |
13 |
$229.68 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
24 |
$459.36 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$389.04 |