LEE, SAMANTHA
NPI: 1790395200
· ELKHART, IN 46514
· Dentist
· NPI assigned 08/10/2020
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$566.23 |
| 2023 |
204 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
58 |
58 |
$3K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
26 |
17 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
63 |
63 |
$2K |
| D0274 |
Bitewings - four radiographic images |
29 |
29 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
19 |
19 |
$380.63 |
| D0220 |
Intraoral - periapical first radiographic image |
23 |
23 |
$367.12 |