LEE, KUNSUN
NPI: 1316324999
· HAGATNA, GU 96910
· Dentist
· NPI assigned 05/02/2015
$168K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$720.00 |
| 2020 |
269 |
$19K |
| 2021 |
430 |
$18K |
| 2022 |
995 |
$40K |
| 2023 |
1,082 |
$46K |
| 2024 |
1,134 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,261 |
1,250 |
$71K |
| D0120 |
Periodic oral evaluation - established patient |
1,065 |
1,057 |
$43K |
| D1203 |
|
580 |
576 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
115 |
113 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
284 |
279 |
$8K |
| D1351 |
Sealant - per tooth |
170 |
52 |
$8K |
| D4220 |
|
13 |
12 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
350 |
343 |
$5K |
| D2940 |
|
15 |
15 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
40 |
33 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$938.00 |
| D1110 |
Prophylaxis - adult |
16 |
16 |
$832.00 |