CENTENNIAL LAKES DENTAL GROUP
NPI: 1972748721
· GOLDEN VALLEY, MN 55422
· General Practice Dentistry
· NPI assigned 12/09/2008
Provider Details
| Authorized Official | SLAVIK, JUDY (OFFICE MANAGER) |
| NPI Enumeration Date | 12/09/2008 |
Related Entities
Other providers sharing the same authorized official: SLAVIK, JUDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
45 |
$81.16 |
| 2019 |
25 |
$475.65 |
| 2020 |
86 |
$2K |
| 2021 |
137 |
$3K |
| 2022 |
88 |
$4K |
| 2023 |
51 |
$2K |
| 2024 |
54 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
159 |
159 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
327 |
327 |
$7K |