KENDALYN LUTZ-CRAVER DDS PA
NPI: 1881797066
· SHELBY, NC 28150
· General Practice Dentistry
· NPI assigned 09/06/2006
$167K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
975 |
$18K |
| 2019 |
988 |
$23K |
| 2020 |
958 |
$24K |
| 2021 |
1,005 |
$28K |
| 2022 |
1,017 |
$24K |
| 2023 |
1,085 |
$26K |
| 2024 |
999 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
3,239 |
3,043 |
$80K |
| D1110 |
Prophylaxis - adult |
978 |
907 |
$34K |
| D1206 |
Topical application of fluoride varnish |
1,955 |
1,836 |
$30K |
| D1120 |
Prophylaxis - child |
681 |
625 |
$17K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
24 |
12 |
$2K |
| D0274 |
Bitewings - four radiographic images |
55 |
53 |
$2K |
| D0272 |
Bitewings - two radiographic images |
39 |
38 |
$689.86 |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
40 |
$616.46 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$171.73 |