LEE, KENDALL
NPI: 1720194913
· HILLSDALE, MI 48242
· Dentist
· NPI assigned 08/21/2006
$117K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,053 |
$30K |
| 2019 |
1,151 |
$35K |
| 2020 |
802 |
$21K |
| 2021 |
1,020 |
$28K |
| 2022 |
152 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
943 |
939 |
$33K |
| D0120 |
Periodic oral evaluation - established patient |
1,355 |
1,351 |
$33K |
| D0272 |
Bitewings - two radiographic images |
793 |
788 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
736 |
732 |
$16K |
| D1110 |
Prophylaxis - adult |
290 |
290 |
$14K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
34 |
25 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$1K |