IGNATIUS K. LEE DDS PA
NPI: 1386397065
· BURNSVILLE, MN 55306
· Dental Clinic/Center
· NPI assigned 02/01/2022
Provider Details
| Authorized Official | LEE, IGNATIUS (OWNER/PRESIDENT) |
| NPI Enumeration Date | 02/01/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
257 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
79 |
79 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
67 |
67 |
$3K |
| D0274 |
Bitewings - four radiographic images |
60 |
60 |
$2K |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$707.87 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$446.13 |
| D1330 |
|
12 |
12 |
$339.00 |