LAKES DENTAL CARE PLC
NPI: 1609889302
· BAXTER, MN 56425
· General Practice Dentistry
· NPI assigned 08/14/2006
Provider Details
| Authorized Official | OLSON, JEFFREY (OWNER PARTNER) |
| NPI Enumeration Date | 08/14/2006 |
Related Entities
Other providers sharing the same authorized official: OLSON, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
205 |
$0.00 |
| 2019 |
235 |
$5K |
| 2020 |
194 |
$4K |
| 2021 |
378 |
$8K |
| 2022 |
278 |
$9K |
| 2023 |
128 |
$3K |
| 2024 |
80 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
690 |
676 |
$13K |
| D1110 |
Prophylaxis - adult |
277 |
276 |
$7K |
| D1206 |
Topical application of fluoride varnish |
443 |
439 |
$7K |
| D0274 |
Bitewings - four radiographic images |
88 |
84 |
$2K |