LAKE VALLEY DENTAL PLLC
NPI: 1720755531
· WHEATON, MN 56296
· Dental Clinic/Center
· NPI assigned 08/28/2021
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
114 |
$3K |
| 2022 |
510 |
$23K |
| 2023 |
770 |
$34K |
| 2024 |
586 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
490 |
479 |
$33K |
| D1206 |
Topical application of fluoride varnish |
618 |
609 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
358 |
356 |
$14K |
| D0274 |
Bitewings - four radiographic images |
160 |
157 |
$7K |
| D1120 |
Prophylaxis - child |
143 |
143 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
122 |
112 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
89 |
86 |
$2K |