S LEE DENTAL CORPORATION
NPI: 1376793133
· CRESTLINE, CA 92325
· Dentist
· NPI assigned 09/29/2008
Provider Details
| Authorized Official | LEE, SEAN (EMPLOYER) |
| NPI Enumeration Date | 09/29/2008 |
Related Entities
Other providers sharing the same authorized official: LEE, SEAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,050 |
$31K |
| 2019 |
2,152 |
$35K |
| 2020 |
391 |
$3K |
| 2021 |
797 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
311 |
310 |
$17K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,387 |
781 |
$14K |
| D1120 |
Prophylaxis - child |
380 |
379 |
$11K |
| D1110 |
Prophylaxis - adult |
144 |
143 |
$10K |
| D0274 |
Bitewings - four radiographic images |
496 |
495 |
$10K |
| D7140 |
Extraction, erupted tooth or exposed root |
103 |
52 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
147 |
147 |
$3K |
| D1206 |
Topical application of fluoride varnish |
328 |
327 |
$3K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
21 |
13 |
$1K |
| D9430 |
|
14 |
14 |
$392.00 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
27 |
$324.00 |
| D0272 |
Bitewings - two radiographic images |
31 |
31 |
$300.00 |