LIFETIME DENTAL PLLC
NPI: 1770055071
· SIOUX FALLS, SD 57105
· Dental Clinic/Center
· NPI assigned 12/26/2018
Provider Details
| Authorized Official | ROBISON, SARA (OWNER) |
| NPI Enumeration Date | 12/26/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$678.00 |
| 2020 |
52 |
$2K |
| 2021 |
37 |
$1K |
| 2022 |
14 |
$412.94 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
40 |
40 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
76 |
76 |
$2K |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$285.00 |