LEE, MIANA
NPI: 1043698129
· MILWAUKEE, WI 53216
· Student in an Organized Health Care Education/Training Program
· NPI assigned 05/11/2015
$104K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,108 |
$21K |
| 2019 |
904 |
$15K |
| 2020 |
545 |
$9K |
| 2021 |
513 |
$9K |
| 2022 |
568 |
$13K |
| 2023 |
391 |
$8K |
| 2024 |
1,093 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
1,352 |
1,339 |
$19K |
| D0274 |
Bitewings - four radiographic images |
818 |
813 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
957 |
951 |
$15K |
| D1351 |
Sealant - per tooth |
786 |
166 |
$15K |
| D1110 |
Prophylaxis - adult |
430 |
426 |
$14K |
| D1120 |
Prophylaxis - child |
363 |
360 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
170 |
165 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
180 |
177 |
$4K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
66 |
42 |
$3K |