CENTENNIAL LAKES DENTAL GROUP
NPI: 1801982111
· EDINA, MN 55435
· Dentist
· NPI assigned 10/05/2006
Provider Details
| Authorized Official | SLAVIK, JUDY (OFFICE MANAGER) |
| NPI Enumeration Date | 10/05/2006 |
Related Entities
Other providers sharing the same authorized official: SLAVIK, JUDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$517.35 |
| 2020 |
13 |
$255.00 |
| 2021 |
191 |
$4K |
| 2022 |
127 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
116 |
116 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
191 |
190 |
$5K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$288.28 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
24 |
$243.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$91.52 |