KEVIN THAI LE DDS, INC
NPI: 1295393445
· RESEDA, CA 91335
· Dental Clinic/Center
· NPI assigned 06/03/2019
Provider Details
| Authorized Official | LE, KEVIN (CEO) |
| NPI Enumeration Date | 06/03/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
30 |
$360.00 |
| 2021 |
31 |
$2K |
| 2023 |
259 |
$10K |
| 2024 |
55 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9110 |
|
80 |
73 |
$5K |
| D2330 |
|
61 |
38 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
140 |
122 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$970.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
42 |
$947.70 |
| D0272 |
Bitewings - two radiographic images |
24 |
24 |
$288.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$207.00 |