LANE, BRIAN
NPI: 1710072277
· VILONIA, AR 72173
· General Practice Dentistry
· NPI assigned 10/03/2006
$973.70
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
53 |
$973.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$399.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$239.40 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$178.55 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$156.75 |