LE, PAUL
NPI: 1396411286
· EAGLE POINT, OR 97524
· General Practice Dentistry
· NPI assigned 08/19/2021
$537.30
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
40 |
$537.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$346.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$191.10 |
| D0603 |
|
15 |
15 |
$0.00 |