LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
NPI: 1710422670
· DEFUNIAK SPRINGS, FL 32435
· Public Health Dentist
· NPI assigned 01/03/2017
Provider Details
| Authorized Official | INMAN, STEVEN (VP FISCAL AFFAIRS/CFO) |
| NPI Enumeration Date | 01/03/2017 |
Related Entities
Other providers sharing the same authorized official: INMAN, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
13 |
$240.75 |
| 2024 |
71 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
39 |
39 |
$882.75 |
| D7140 |
Extraction, erupted tooth or exposed root |
20 |
12 |
$802.60 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$523.15 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$257.80 |