LP DENTAL, INC.
NPI: 1700378270
· SWAMPSCOTT, MA 01907
· General Practice Dentistry
· NPI assigned 05/31/2018
$150K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PUKHOVITSKAYA, ANNA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$1K |
| 2020 |
283 |
$10K |
| 2021 |
283 |
$12K |
| 2022 |
644 |
$23K |
| 2023 |
1,121 |
$35K |
| 2024 |
1,537 |
$68K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,543 |
1,504 |
$79K |
| D2740 |
Crown - porcelain/ceramic |
31 |
25 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
999 |
987 |
$22K |
| D0220 |
Intraoral - periapical first radiographic image |
755 |
666 |
$11K |
| D0274 |
Bitewings - four radiographic images |
202 |
198 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
110 |
107 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
185 |
137 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
23 |
14 |
$1K |
| D1206 |
Topical application of fluoride varnish |
30 |
30 |
$716.69 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
13 |
$504.00 |