LUBBOCK DENTAL CARE PROFESSIONALS, PLLC
NPI: 1972022309
· LUBBOCK, TX 79424
· Dentist
· NPI assigned 09/18/2017
$253K
Total Medicaid Paid
Provider Details
| Authorized Official | GRUMBOS, PETER (OWNER) |
| NPI Enumeration Date | 09/18/2017 |
Related Entities
Other providers sharing the same authorized official: GRUMBOS, PETER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
494 |
$6K |
| 2021 |
4,834 |
$88K |
| 2022 |
3,054 |
$72K |
| 2023 |
3,261 |
$62K |
| 2024 |
1,294 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,853 |
1,573 |
$77K |
| D0120 |
Periodic oral evaluation - established patient |
1,841 |
1,574 |
$41K |
| D0274 |
Bitewings - four radiographic images |
1,411 |
1,230 |
$39K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,342 |
1,996 |
$27K |
| D0210 |
Intraoral - complete series of radiographic images |
369 |
289 |
$16K |
| D1120 |
Prophylaxis - child |
497 |
420 |
$13K |
| D1351 |
Sealant - per tooth |
644 |
46 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
458 |
368 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
854 |
609 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
700 |
630 |
$8K |
| D0272 |
Bitewings - two radiographic images |
100 |
91 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
16 |
12 |
$2K |
| D0602 |
|
1,253 |
1,128 |
$0.00 |
| D0601 |
|
468 |
408 |
$0.00 |
| D0603 |
|
131 |
124 |
$0.00 |