HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
NPI: 1063657393
· BELLEVUE, WA 98004
· Dentist
· NPI assigned 12/16/2008
$153K
Total Medicaid Paid
Provider Details
| Authorized Official | MCINTOSH, LA NETTE (REGIONAL OFFICE MANAGER) |
| Parent Organization | HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
| NPI Enumeration Date | 12/16/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,323 |
$23K |
| 2019 |
1,668 |
$28K |
| 2020 |
932 |
$14K |
| 2021 |
1,219 |
$20K |
| 2022 |
1,028 |
$19K |
| 2023 |
1,027 |
$25K |
| 2024 |
974 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,755 |
2,676 |
$66K |
| D1206 |
Topical application of fluoride varnish |
2,625 |
2,519 |
$44K |
| D1120 |
Prophylaxis - child |
1,050 |
1,020 |
$24K |
| D0272 |
Bitewings - two radiographic images |
1,331 |
1,299 |
$13K |
| D1999 |
|
274 |
251 |
$3K |
| D1110 |
Prophylaxis - adult |
109 |
104 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
27 |
$314.91 |