LAURICH DENTISTRY LIVONIA
NPI: 1679199384
· LIVONIA, MI 48152
· General Practice Dentistry
· NPI assigned 06/18/2020
Provider Details
| Authorized Official | KARACSON, ALICIA (OFFICE MANAGER) |
| NPI Enumeration Date | 06/18/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
70 |
$2K |
| 2022 |
230 |
$6K |
| 2023 |
179 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
120 |
120 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
163 |
163 |
$4K |
| D1206 |
Topical application of fluoride varnish |
166 |
166 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$495.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$350.00 |