LAKE DENTAL OF SARATOGA, PC
NPI: 1801196134
· SARATOGA SPRINGS, NY 12866
· General Practice Dentistry
· NPI assigned 11/03/2010
Provider Details
| Authorized Official | DENNIS, TRACIE (BOOK KEEPER) |
| NPI Enumeration Date | 11/03/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
258 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
124 |
124 |
$6K |
| D0274 |
Bitewings - four radiographic images |
68 |
68 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
53 |
53 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$611.00 |