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HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
NPI: 1770826927
· RENTON, WA 98059
· Pediatric Dentist
· NPI assigned 04/05/2013
$152K
Total Medicaid Paid
Provider Details
| Authorized Official | MCINTOSH, LANETTE (REGIONAL OPERATIONS MANAGER) |
| Parent Organization | HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
| NPI Enumeration Date | 04/05/2013 |
Related Entities
Other providers sharing the same authorized official: MCINTOSH, LANETTE
| Provider | City | State | Total Paid |
|---|
| HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
PASCO |
WA |
$6.17M |
| HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
TUKWILA |
WA |
$1.88M |
| HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
ISSAQUAH |
WA |
$182K |
| HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
SNOQUALMIE |
WA |
$125K |
| HOUSE, LEE, MAST, MCDONALD AND NELSON, PC |
SEATTLE |
WA |
$46K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,011 |
$37K |
| 2019 |
1,471 |
$29K |
| 2020 |
917 |
$16K |
| 2021 |
951 |
$19K |
| 2022 |
631 |
$12K |
| 2023 |
690 |
$20K |
| 2024 |
642 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,474 |
2,413 |
$62K |
| D1120 |
Prophylaxis - child |
1,732 |
1,677 |
$39K |
| D1206 |
Topical application of fluoride varnish |
2,140 |
2,092 |
$37K |
| D0272 |
Bitewings - two radiographic images |
555 |
542 |
$5K |
| D9999 |
Unspecified adjunctive procedure, by report |
111 |
104 |
$3K |
| D1999 |
|
226 |
215 |
$3K |
| D1110 |
Prophylaxis - adult |
45 |
45 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
12 |
$464.34 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$175.62 |