LAKESHORE FAMILY DENTISTRY PA
NPI: 1669585154
· WHITE BEAR LAKE, MN 55110
· 1223G0001X
$521.73
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$263.34 |
| 2020 |
30 |
$258.39 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
26 |
26 |
$521.73 |
| D9985 |
|
16 |
14 |
$0.00 |