TERRY LEE DDS PLLC
NPI: 1407125685
· HOUSTON, TX 77018
· Dentist
· NPI assigned 12/18/2011
$522.60
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, TERRY (OWNER) |
| NPI Enumeration Date | 12/18/2011 |
Related Entities
Other providers sharing the same authorized official: LEE, TERRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$522.60 |
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 |
12 |
12 |
$176.40 |