LEE, SUNGGYU
NPI: 1093208514
· STRONGSVILLE, OH 44136
· General Practice Dentistry
· NPI assigned 06/09/2018
$799.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$799.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
12 |
12 |
$509.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
12 |
$289.90 |