LEE, SUSAN
NPI: 1093921421
· CORONA, CA 92882
· Dentist
· NPI assigned 05/15/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
304 |
$14K |
| 2023 |
238 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
108 |
104 |
$9K |
| D1110 |
Prophylaxis - adult |
85 |
70 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
49 |
42 |
$3K |
| D1120 |
Prophylaxis - child |
36 |
36 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
95 |
90 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
156 |
51 |
$631.80 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
12 |
$624.00 |