JUANA E LUSTER DDS PC
NPI: 1750558060
· BKLYN, NY 11230
· General Practice Dentistry
· NPI assigned 05/15/2008
Provider Details
| Authorized Official | LUSTER, JUANA (OWNER) |
| Parent Organization | JUANA E LUSTER DDS PC |
| NPI Enumeration Date | 05/15/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
222 |
$3K |
| 2019 |
140 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
97 |
97 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
103 |
103 |
$966.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
70 |
70 |
$791.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
80 |
80 |
$349.20 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$334.50 |