ELITE DENTAL GROUP LAKEWOOD INC
NPI: 1902489016
· LAKEWOOD, CO 80232
· Dental Clinic/Center
· NPI assigned 05/05/2021
Provider Details
| Authorized Official | JUNG, KYU (PRESIDENT/DENTIST) |
| NPI Enumeration Date | 05/05/2021 |
Related Entities
Other providers sharing the same authorized official: JUNG, KYU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
130 |
$11K |
| 2023 |
289 |
$13K |
| 2024 |
587 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
53 |
36 |
$25K |
| D1110 |
Prophylaxis - adult |
104 |
103 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
381 |
367 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
194 |
193 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
131 |
130 |
$3K |
| D0274 |
Bitewings - four radiographic images |
77 |
77 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
52 |
52 |
$2K |
| D2950 |
|
14 |
13 |
$2K |