MC-LL LLC
NPI: 1871546184
· LIBERTY LAKE, WA 99019
· General Practice Dentistry
· NPI assigned 05/18/2006
Provider Details
Related Entities
Other providers sharing the same authorized official: GIBBS, MARSHALL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
869 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
171 |
169 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
170 |
165 |
$4K |
| D1206 |
Topical application of fluoride varnish |
214 |
210 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
110 |
108 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
56 |
56 |
$1K |
| D0274 |
Bitewings - four radiographic images |
62 |
62 |
$648.36 |
| D0220 |
Intraoral - periapical first radiographic image |
86 |
83 |
$579.96 |