LEE, JESSICA
NPI: 1366177883
· ELKHART, IN 46514
· General Practice Dentistry
· NPI assigned 07/19/2022
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
37 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$764.05 |
| D0120 |
Periodic oral evaluation - established patient |
24 |
24 |
$614.12 |