JIN KUK LEE DDS INC
NPI: 1114485745
· CARROLLTON, TX 75006
· General Practice Dentistry
· NPI assigned 03/01/2019
$191.10
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, JIN KUK (DENTIST) |
| NPI Enumeration Date | 03/01/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
30 |
$191.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
13 |
$191.10 |
| D0601 |
|
13 |
12 |
$0.00 |