ZACHARY R. LEE, DDS LLC
NPI: 1134619620
· WAIANAE, HI 96792
· General Practice Dentistry
· NPI assigned 05/10/2018
Provider Details
| Authorized Official | LEE, ZACHARY (DENTIST) |
| NPI Enumeration Date | 05/10/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
268 |
$5K |
| 2019 |
407 |
$9K |
| 2020 |
29 |
$635.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
251 |
251 |
$7K |
| D1120 |
Prophylaxis - child |
149 |
149 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
230 |
230 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
42 |
41 |
$458.64 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$227.16 |
| D0230 |
Intraoral - periapical each additional radiographic image |
20 |
14 |
$135.20 |