FRANK L. LE, D.D.S, INC.
NPI: 1043738701
· FOUNTAIN VALLEY, CA 92708
· General Practice Dentistry
· NPI assigned 09/01/2017
$219K
Total Medicaid Paid
Provider Details
| Authorized Official | LE, FRANK (PRESIDENT) |
| NPI Enumeration Date | 09/01/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,951 |
$36K |
| 2019 |
2,039 |
$48K |
| 2020 |
1,509 |
$30K |
| 2021 |
2,289 |
$37K |
| 2022 |
2,230 |
$56K |
| 2023 |
481 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
817 |
810 |
$45K |
| D1110 |
Prophylaxis - adult |
521 |
515 |
$42K |
| D4910 |
|
329 |
327 |
$25K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
406 |
406 |
$22K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,407 |
1,078 |
$21K |
| D1206 |
Topical application of fluoride varnish |
1,333 |
1,324 |
$18K |
| D0274 |
Bitewings - four radiographic images |
707 |
702 |
$15K |
| D1120 |
Prophylaxis - child |
417 |
414 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
209 |
209 |
$10K |
| D9430 |
|
134 |
124 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
139 |
139 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
80 |
78 |
$910.00 |