LAWHEAD FAMILY DENTISTRY
NPI: 1770040818
· MUSCATINE, IA 52761
· General Practice Dentistry
· NPI assigned 02/25/2019
Provider Details
| Authorized Official | ODEGARD, JESSICA (OFFICE SUPPORT) |
| NPI Enumeration Date | 02/25/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
79 |
$2K |
| 2020 |
12 |
$189.33 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
47 |
47 |
$803.95 |
| D1110 |
Prophylaxis - adult |
17 |
17 |
$598.20 |
| D1206 |
Topical application of fluoride varnish |
27 |
27 |
$386.91 |