A. KEITH LETHCO D.M.D.,P.A.
NPI: 1730220146
· GREENWOOD, SC 29649
· Dentist
· NPI assigned 02/09/2007
Provider Details
| Authorized Official | LETHCO, ANDREW (PRESIDENT) |
| NPI Enumeration Date | 02/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
280 |
$8K |
| 2019 |
227 |
$6K |
| 2020 |
138 |
$4K |
| 2021 |
161 |
$6K |
| 2022 |
117 |
$4K |
| 2023 |
161 |
$6K |
| 2024 |
104 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
438 |
438 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
646 |
646 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
61 |
61 |
$988.20 |
| D0272 |
Bitewings - two radiographic images |
43 |
43 |
$776.54 |