LONG, LEE
NPI: 1073723953
· TILLAMOOK, OR 97141
· General Practice Dentistry
· NPI assigned 05/22/2007
$545.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$545.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$324.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$221.00 |