LEE, SUSAN
NPI: 1306238167
· JAFFREY, NH 03452
· General Practice Dentistry
· NPI assigned 03/03/2015
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
136 |
$3K |
| 2019 |
41 |
$835.75 |
| 2020 |
25 |
$506.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
98 |
98 |
$2K |
| D1206 |
Topical application of fluoride varnish |
87 |
87 |
$2K |
| D1120 |
Prophylaxis - child |
17 |
17 |
$495.00 |