LEECO DENTAL LLC
NPI: 1164453379
· MARLTON, NJ 08053
· General Practice Dentistry
· NPI assigned 07/05/2006
Provider Details
| Authorized Official | WIENER, JAMES (OWNER) |
| NPI Enumeration Date | 07/05/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$55.20 |
| 2019 |
12 |
$276.00 |
| 2020 |
28 |
$644.00 |
| 2021 |
36 |
$386.40 |
| 2022 |
122 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
78 |
78 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
68 |
68 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
52 |
52 |
$239.20 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$179.40 |