LAKEVIEW DENTAL CLINIC
NPI: 1750610721
· BEMIDJI, MN 56601
· General Practice Dentistry
· NPI assigned 12/21/2009
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WEBB, ANGIE (RECEPTIONIST) |
| NPI Enumeration Date | 12/21/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
100 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
27 |
27 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
73 |
73 |
$0.00 |