LANTERN DENTAL CLINIC INC
NPI: 1871690818
· DESOTO, TX 75115
· 1223G0001X
$857.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
32 |
$548.60 |
| 2021 |
12 |
$308.80 |
| 2023 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
29 |
26 |
$681.00 |
| D1208 |
|
15 |
13 |
$176.40 |
| D0602 |
|
14 |
13 |
$0.00 |