LAKE FRONT DENTAL GROUP PC
NPI: 1932706595
· PLATTSBURGH, NY 12901
· Endodontist
· NPI assigned 10/07/2020
$1.71M
Total Medicaid Paid
Provider Details
| Authorized Official | ABIKHZER, JOEL (OWNER/DENTIST) |
| NPI Enumeration Date | 10/07/2020 |
Related Entities
Other providers sharing the same authorized official: ABIKHZER, JOEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,694 |
$299K |
| 2022 |
2,626 |
$423K |
| 2023 |
4,642 |
$495K |
| 2024 |
4,456 |
$492K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,944 |
2,280 |
$688K |
| D7240 |
Removal of impacted tooth - completely bony |
697 |
389 |
$365K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,409 |
1,407 |
$209K |
| D9310 |
|
1,850 |
1,850 |
$180K |
| D9222 |
|
1,292 |
1,291 |
$108K |
| D7230 |
|
186 |
151 |
$57K |
| D0330 |
Panoramic radiographic image |
1,121 |
1,121 |
$51K |
| D0367 |
|
65 |
65 |
$22K |
| D0140 |
Limited oral evaluation - problem focused |
1,228 |
1,227 |
$21K |
| D9610 |
|
574 |
574 |
$10K |
| D9430 |
|
26 |
25 |
$639.60 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$410.54 |