WONJOON LEE, DDS, INC
NPI: 1134662760
· SOUTH GATE, CA 90280
· Preferred Provider Organization
· NPI assigned 11/30/2016
Provider Details
| Authorized Official | LEE, WONJOON (OWNER) |
| NPI Enumeration Date | 11/30/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
144 |
$6K |
| 2019 |
48 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
136 |
135 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
43 |
42 |
$2K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$390.00 |