LUCE LINE FAMILY DENTAL PLLC
NPI: 1821835968
· WINSTED, MN 55395
· Dental Clinic/Center
· NPI assigned 07/15/2024
Provider Details
| Authorized Official | HAHN, DANIELLE (PRESIDENT) |
| NPI Enumeration Date | 07/15/2024 |
Related Entities
Other providers sharing the same authorized official: HAHN, DANIELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
109 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
39 |
39 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$1K |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$729.96 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$396.48 |