LEHMAN DRIVE PDC PLLC
NPI: 1942867650
· COLORADO SPRINGS, CO 80918
· Endodontist
· NPI assigned 05/29/2019
Provider Details
| Authorized Official | WARNER, JACOB (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 05/29/2019 |
Related Entities
Other providers sharing the same authorized official: WARNER, JACOB
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
57 |
$3K |
| 2023 |
236 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
46 |
13 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
86 |
86 |
$3K |
| D1110 |
Prophylaxis - adult |
39 |
39 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
86 |
83 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$800.68 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$649.56 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$274.44 |