LEE FAMILY DENTISTRY, PA
NPI: 1619397387
· SENATOBIA, MS 38668
· Dentist
· NPI assigned 04/22/2014
Provider Details
| Authorized Official | LEE, PRESTON (OWNER/PRESIDENT) |
| NPI Enumeration Date | 04/22/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,726 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
485 |
171 |
$4K |
| D1120 |
Prophylaxis - child |
482 |
168 |
$3K |
| D1206 |
Topical application of fluoride varnish |
454 |
164 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
175 |
16 |
$630.08 |
| D0330 |
Panoramic radiographic image |
21 |
14 |
$569.69 |
| D0140 |
Limited oral evaluation - problem focused |
109 |
27 |
$443.28 |