LAKE, EDWARD
NPI: 1790820587
· POTOSI, MO 63664
· Dentist
· NPI assigned 02/20/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
806 |
$18K |
| 2019 |
287 |
$3K |
| 2020 |
12 |
$180.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
202 |
198 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
254 |
253 |
$5K |
| D1206 |
Topical application of fluoride varnish |
333 |
330 |
$4K |
| D0330 |
Panoramic radiographic image |
80 |
78 |
$3K |
| D0272 |
Bitewings - two radiographic images |
160 |
160 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
38 |
$1K |
| D1120 |
Prophylaxis - child |
38 |
38 |
$836.00 |