HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
NPI: 1144465428
· SNOQUALMIE, WA 98065
· Dentist
· NPI assigned 12/15/2008
$125K
Total Medicaid Paid
Provider Details
| Authorized Official | MCINTOSH, LANETTE (REGIONAL OPERATIONS MANAGER) |
| Parent Organization | HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
| NPI Enumeration Date | 12/15/2008 |
Related Entities
Other providers sharing the same authorized official: MCINTOSH, LANETTE
| Provider | City | State | Total Paid |
|---|
| HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
PASCO |
WA |
$6.17M |
| HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
TUKWILA |
WA |
$1.88M |
| HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
ISSAQUAH |
WA |
$182K |
| HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
RENTON |
WA |
$152K |
| HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
SEATTLE |
WA |
$46K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
841 |
$15K |
| 2019 |
967 |
$17K |
| 2020 |
1,147 |
$18K |
| 2021 |
721 |
$13K |
| 2022 |
688 |
$12K |
| 2023 |
1,110 |
$26K |
| 2024 |
969 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,103 |
2,029 |
$52K |
| D1206 |
Topical application of fluoride varnish |
1,898 |
1,832 |
$35K |
| D1120 |
Prophylaxis - child |
1,096 |
1,057 |
$24K |
| D0272 |
Bitewings - two radiographic images |
1,078 |
1,036 |
$10K |
| D1999 |
|
268 |
255 |
$3K |