LOURENCO DDS. INC
NPI: 1730467044
· GARDEN GROVE, CA 92840
· Dental Clinic/Center
· NPI assigned 08/03/2011
Provider Details
| Authorized Official | LOURENCO, AURY (PRESIDENT) |
| NPI Enumeration Date | 08/03/2011 |
Related Entities
Other providers sharing the same authorized official: LOURENCO, AURY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
123 |
$3K |
| 2019 |
13 |
$125.00 |
| 2021 |
16 |
$179.00 |
| 2023 |
12 |
$171.50 |
| 2024 |
13 |
$207.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
102 |
101 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$762.75 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$480.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$385.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$360.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$360.00 |