LEE, PHYLLIS
NPI: 1164566634
· PITTSBURGH, PA 15228
· Prosthodontist
· NPI assigned 02/17/2007
$170K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,234 |
$51K |
| 2024 |
1,462 |
$119K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9920 |
|
738 |
671 |
$91K |
| D9947 |
|
13 |
13 |
$32K |
| D1110 |
Prophylaxis - adult |
505 |
505 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
438 |
436 |
$9K |
| D0274 |
Bitewings - four radiographic images |
195 |
193 |
$5K |
| D9110 |
|
150 |
140 |
$4K |
| D0330 |
Panoramic radiographic image |
116 |
116 |
$4K |
| D1330 |
|
277 |
277 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
120 |
120 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
114 |
113 |
$885.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
30 |
30 |
$578.40 |