LEE, BOUNGHOON
NPI: 1215343512
· LITCHFIELD PARK, AZ 85340
· Dentist
· NPI assigned 07/08/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
210 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
98 |
98 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
33 |
33 |
$563.64 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$443.69 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$280.00 |
| D0220 |
Intraoral - periapical first radiographic image |
52 |
49 |
$255.00 |