WELTMAN, LEE
NPI: 1396842407
· COLCHESTER, VT 05446
· General Practice Dentistry
· NPI assigned 09/20/2006
$111K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
429 |
$13K |
| 2019 |
466 |
$13K |
| 2020 |
314 |
$10K |
| 2021 |
685 |
$21K |
| 2022 |
653 |
$21K |
| 2023 |
634 |
$16K |
| 2024 |
347 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,233 |
1,108 |
$57K |
| D0120 |
Periodic oral evaluation - established patient |
1,561 |
1,432 |
$38K |
| D1208 |
Topical application of fluoride, excluding varnish |
395 |
365 |
$7K |
| D0274 |
Bitewings - four radiographic images |
197 |
173 |
$5K |
| D1120 |
Prophylaxis - child |
97 |
91 |
$3K |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$885.00 |
| D1330 |
|
30 |
15 |
$0.00 |