CHAIN OF LAKES DENTAL, PLLC
NPI: 1730738295
· RICHMOND, MN 56368
· Dental Clinic/Center
· NPI assigned 09/08/2019
Provider Details
| Authorized Official | SPODEN, SHAWN (OWNER/DENTIST) |
| NPI Enumeration Date | 09/08/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
32 |
$765.60 |
| 2020 |
82 |
$2K |
| 2021 |
146 |
$4K |
| 2022 |
249 |
$11K |
| 2023 |
466 |
$18K |
| 2024 |
382 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
398 |
391 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
689 |
685 |
$21K |
| D0274 |
Bitewings - four radiographic images |
101 |
100 |
$4K |
| D1206 |
Topical application of fluoride varnish |
125 |
125 |
$3K |
| D1120 |
Prophylaxis - child |
44 |
44 |
$2K |