EDUCARE DENTAL SERVICES, INC.
NPI: 1669462800
· CLOVIS, NM 88101
· General Practice Dentistry
· NPI assigned 10/27/2005
$256K
Total Medicaid Paid
Provider Details
| Authorized Official | LAKIN, CYNTHIA (OWNER) |
| NPI Enumeration Date | 10/27/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,466 |
$94K |
| 2019 |
6,043 |
$129K |
| 2020 |
1,507 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
2,157 |
595 |
$51K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,445 |
1,444 |
$50K |
| D1120 |
Prophylaxis - child |
1,600 |
1,600 |
$50K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,647 |
1,647 |
$29K |
| D0220 |
Intraoral - periapical first radiographic image |
1,709 |
1,709 |
$19K |
| D0272 |
Bitewings - two radiographic images |
799 |
799 |
$16K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,716 |
1,706 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
614 |
614 |
$14K |
| D0274 |
Bitewings - four radiographic images |
329 |
329 |
$10K |