LANCASTER PEDIATRIC DENTAL ASSOCIATES, P.C.
NPI: 1922303874
· LANCASTER, PA 17601
· Pediatric Dentist
· NPI assigned 01/24/2011
$148K
Total Medicaid Paid
Provider Details
| Authorized Official | ROSS, PETER (PRESIDENT) |
| NPI Enumeration Date | 01/24/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,328 |
$53K |
| 2019 |
1,437 |
$56K |
| 2020 |
123 |
$5K |
| 2022 |
128 |
$4K |
| 2023 |
213 |
$7K |
| 2024 |
680 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,102 |
1,075 |
$55K |
| D1206 |
Topical application of fluoride varnish |
1,174 |
1,151 |
$42K |
| D0120 |
Periodic oral evaluation - established patient |
1,172 |
1,147 |
$36K |
| D0272 |
Bitewings - two radiographic images |
432 |
431 |
$14K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$910.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$675.00 |