LAKELINE RANCH DENTAL
NPI: 1972926699
· AUSTIN, TX 78717
· Preferred Provider Organization
· NPI assigned 01/31/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
86 |
$2K |
| 2021 |
12 |
$161.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
16 |
16 |
$588.00 |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$507.90 |
| D1208 |
Topical application of fluoride, excluding varnish |
34 |
34 |
$485.10 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$280.56 |
| D0601 |
|
18 |
17 |
$0.00 |