LUCE LINE FAMILY DENTAL PLLC
NPI: 1730926874
· HOWARD LAKE, MN 55349
· Dental Clinic/Center
· NPI assigned 07/15/2024
Provider Details
| Authorized Official | HAHN, DANIELLE (PRESIDENT) |
| Parent Organization | LUCE LINE FAMILY DENTAL PLLC |
| NPI Enumeration Date | 07/15/2024 |
Related Entities
Other providers sharing the same authorized official: HAHN, DANIELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
106 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
57 |
44 |
$2K |
| D0330 |
Panoramic radiographic image |
13 |
12 |
$935.67 |
| D0120 |
Periodic oral evaluation - established patient |
24 |
15 |
$482.04 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$444.79 |