DAHL, LEE
NPI: 1215011424
· LAUREL, NE 68745
· General Practice Dentistry
· NPI assigned 10/24/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
787 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
197 |
43 |
$4K |
| D1120 |
Prophylaxis - child |
156 |
146 |
$4K |
| D1206 |
Topical application of fluoride varnish |
193 |
182 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
147 |
144 |
$2K |
| D0272 |
Bitewings - two radiographic images |
48 |
47 |
$769.39 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$465.66 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
19 |
19 |
$447.26 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$343.98 |