NPI: 1265001036 · PASADENA, TX 77504 · Dental Clinic/Center · NPI assigned 06/24/2021
| Authorized Official | LE, JOHN (MANAGER) |
| NPI Enumeration Date | 06/24/2021 |
Other providers sharing the same authorized official: LE, JOHN
| Provider | City | State | Total Paid |
|---|---|---|---|
| JOHN M. LE DDS, LLC | OVERLAND PARK | KS | $701K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 189 | $3K |
| 2023 | 2,172 | $35K |
| 2024 | 3,528 | $62K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 606 | 598 | $17K | |
| D1120 | 472 | 463 | $16K | |
| D0145 | 114 | 114 | $16K | |
| D0230 | 1,429 | 696 | $15K | |
| D1208 | 744 | 732 | $10K | |
| D0220 | 899 | 884 | $10K | |
| D1351 | 327 | 84 | $8K | |
| D0272 | 192 | 189 | $4K | |
| D1110 | 12 | 12 | $658.56 | |
| D0274 | 12 | 12 | $415.32 | |
| D9230 | 13 | 13 | $352.43 | |
| D0140 | 14 | 14 | $219.66 | |
| D0601 | 207 | 204 | $0.00 | |
| D0603 | 762 | 704 | $0.00 | |
| D0602 | 86 | 83 | $0.00 |