SIMON LEE DENTAL
NPI: 1295845717
· CLEARLAKE, CA 95422
· Dentist
· NPI assigned 08/30/2006
Provider Details
| Authorized Official | LEE, SIMON (OWNER) |
| NPI Enumeration Date | 08/30/2006 |
Related Entities
Other providers sharing the same authorized official: LEE, SIMON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
947 |
$51K |
| 2019 |
740 |
$20K |
| 2020 |
759 |
$19K |
| 2021 |
62 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9430 |
|
790 |
782 |
$25K |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
45 |
40 |
$21K |
| D7140 |
Extraction, erupted tooth or exposed root |
291 |
76 |
$17K |
| D0330 |
Panoramic radiographic image |
306 |
306 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
184 |
183 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
198 |
198 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
575 |
283 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
107 |
107 |
$1K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$64.80 |