LEE FAMILY DENTAL CARE PLLC
NPI: 1457821415
· WORCESTER, MA 01609
· Dental Clinic/Center
· NPI assigned 12/03/2018
$372.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, CHUNG (MEMBER) |
| NPI Enumeration Date | 12/03/2018 |
Related Entities
Other providers sharing the same authorized official: LEE, CHUNG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$372.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$372.00 |