GUNDONG LEE DDS, INC
NPI: 1164987673
· FULLERTON, CA 92832
· General Practice Dentistry
· NPI assigned 02/08/2019
Provider Details
| Authorized Official | LEE, GUNDONG (CEO) |
| NPI Enumeration Date | 02/08/2019 |
Related Entities
Other providers sharing the same authorized official: LEE, GUNDONG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,522 |
$31K |
| 2020 |
142 |
$1K |
| 2021 |
46 |
$198.45 |
| 2022 |
202 |
$6K |
| 2023 |
220 |
$3K |
| 2024 |
318 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
307 |
306 |
$20K |
| D0210 |
Intraoral - complete series of radiographic images |
144 |
144 |
$7K |
| D0350 |
|
587 |
225 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
997 |
232 |
$4K |
| D1120 |
Prophylaxis - child |
90 |
90 |
$3K |
| D9430 |
|
79 |
71 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
19 |
19 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
107 |
107 |
$1K |
| D0272 |
Bitewings - two radiographic images |
44 |
44 |
$528.00 |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$416.00 |
| D1320 |
|
24 |
24 |
$402.50 |
| D0274 |
Bitewings - four radiographic images |
28 |
28 |
$324.00 |