LUMIERE DENTAL SPA, LLC
NPI: 1629346499
· QUINCY, MA 02169
· General Practice Dentistry
· NPI assigned 12/08/2011
Provider Details
| Authorized Official | HOVAIZI, NEDA (DENTIST) |
| NPI Enumeration Date | 12/08/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
786 |
$28K |
| 2019 |
304 |
$11K |
| 2020 |
29 |
$783.00 |
| 2021 |
105 |
$3K |
| 2022 |
150 |
$5K |
| 2023 |
166 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
565 |
559 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
493 |
492 |
$15K |
| D1110 |
Prophylaxis - adult |
226 |
223 |
$13K |
| D1120 |
Prophylaxis - child |
169 |
168 |
$9K |
| D0274 |
Bitewings - four radiographic images |
87 |
86 |
$3K |