LAREDO COVENANT DENTAL, P.A.
NPI: 1477669257
· LAREDO, TX 78045
· General Practice Dentistry
· NPI assigned 08/22/2006
Provider Details
| Authorized Official | LEE, JIN (OWNER) |
| NPI Enumeration Date | 08/22/2006 |
Related Entities
Other providers sharing the same authorized official: LEE, JIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
36 |
$696.25 |
| 2021 |
211 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
121 |
118 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
86 |
84 |
$1K |
| D1110 |
Prophylaxis - adult |
25 |
24 |
$1K |
| D0602 |
|
15 |
15 |
$0.00 |