CHRIS J. LEE, DMD, CHRIS J. PARK, DDS, PLLC
NPI: 1245612423
· COVINGTON, WA 98042
· Dental Clinic/Center
· NPI assigned 06/24/2015
$215K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PARK, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,490 |
$23K |
| 2019 |
1,277 |
$23K |
| 2020 |
1,506 |
$22K |
| 2021 |
1,730 |
$27K |
| 2022 |
1,898 |
$33K |
| 2023 |
1,762 |
$40K |
| 2024 |
1,917 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,920 |
2,756 |
$62K |
| D0120 |
Periodic oral evaluation - established patient |
2,369 |
2,246 |
$59K |
| D1206 |
Topical application of fluoride varnish |
1,558 |
1,518 |
$34K |
| D9999 |
Unspecified adjunctive procedure, by report |
789 |
758 |
$23K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,330 |
1,207 |
$18K |
| D0220 |
Intraoral - periapical first radiographic image |
693 |
662 |
$5K |
| D0272 |
Bitewings - two radiographic images |
464 |
443 |
$4K |
| D1999 |
|
540 |
439 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
126 |
113 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
53 |
52 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
597 |
394 |
$1K |
| D1330 |
|
141 |
136 |
$0.00 |