JIM LEE DDS PC
NPI: 1750739892
· ALEXANDRIA, VA 22306
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/31/2016
$174K
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, JIM (PRESIDENT) |
| NPI Enumeration Date | 05/31/2016 |
Related Entities
Other providers sharing the same authorized official: LEE, JIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
27 |
$12K |
| 2019 |
98 |
$39K |
| 2020 |
69 |
$27K |
| 2021 |
88 |
$33K |
| 2022 |
110 |
$38K |
| 2023 |
176 |
$25K |
| 2024 |
138 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
599 |
590 |
$164K |
| D8660 |
|
107 |
107 |
$10K |