LAEUPPLE, LEE
NPI: 1558410290
· HAVRE, MT 59501
· General Practice Dentistry
· NPI assigned 01/10/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
90 |
$3K |
| 2019 |
117 |
$4K |
| 2020 |
328 |
$3K |
| 2021 |
303 |
$6K |
| 2022 |
165 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
227 |
219 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
269 |
265 |
$5K |
| D0274 |
Bitewings - four radiographic images |
79 |
76 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
82 |
79 |
$2K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$414.09 |
| D1999 |
|
334 |
278 |
$323.00 |