LAKESIDE DENTAL SURGERY CENTER LLC
NPI: 1598483414
· JACKSONVILLE, FL 32256
· 261QA1903X
$7.47M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
8,044 |
$1.88M |
| 2024 |
13,687 |
$5.59M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
5,874 |
1,838 |
$3.14M |
| D7140 |
|
3,891 |
1,533 |
$1.12M |
| D2392 |
|
1,998 |
921 |
$937K |
| D2391 |
|
1,348 |
681 |
$529K |
| D2330 |
|
1,253 |
676 |
$504K |
| D3220 |
|
3,255 |
1,358 |
$383K |
| D2335 |
|
397 |
169 |
$267K |
| D2332 |
|
623 |
361 |
$250K |
| D2932 |
|
465 |
194 |
$164K |
| D2390 |
|
155 |
96 |
$79K |
| D2393 |
|
105 |
71 |
$50K |
| D2331 |
|
104 |
54 |
$20K |
| D1120 |
|
1,038 |
891 |
$20K |
| 00170 |
|
129 |
65 |
$6K |
| D1351 |
|
742 |
320 |
$509.85 |
| D3120 |
|
17 |
12 |
$477.36 |
| D1208 |
|
162 |
146 |
$22.67 |
| D1510 |
|
58 |
41 |
$0.00 |
| D1206 |
|
117 |
102 |
$0.00 |