ALBERT LEE INC.
NPI: 1750039327
· WAITE PARK, MN 56387
· Dental Clinic/Center
· NPI assigned 03/14/2022
Provider Details
| Authorized Official | PETERSON, KARI (OWNER) |
| NPI Enumeration Date | 03/14/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
107 |
$2K |
| 2023 |
316 |
$9K |
| 2024 |
240 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
362 |
356 |
$9K |
| D1110 |
Prophylaxis - adult |
121 |
118 |
$6K |
| D1206 |
Topical application of fluoride varnish |
138 |
137 |
$2K |
| D1330 |
|
15 |
15 |
$494.52 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$467.08 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$245.76 |