NPI: 1699072876 · OLATHE, KS 66062 · Dental Clinic/Center · NPI assigned 02/23/2011
| Authorized Official | LUCACI, PATRICK (OWNER) |
| NPI Enumeration Date | 02/23/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 82 | $2K |
| 2019 | 59 | $1K |
| 2020 | 14 | $435.54 |
| 2021 | 172 | $10K |
| 2022 | 155 | $8K |
| 2023 | 27 | $839.97 |
| 2024 | 1,262 | $105K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 463 | 118 | $68K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 554 | 149 | $34K |
| D0140 | Limited oral evaluation - problem focused | 424 | 405 | $12K |
| D9222 | 164 | 149 | $12K | |
| D9219 | 52 | 49 | $987.00 | |
| D0330 | Panoramic radiographic image | 25 | 24 | $664.62 |
| D0274 | Bitewings - four radiographic images | 33 | 26 | $559.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $368.88 |
| D9612 | 44 | 37 | $0.00 |