LE, BILL
NPI: 1821112285
· BUENA PARK, CA 90620
· General Practice Dentistry
· NPI assigned 03/19/2007
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
684 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
16 |
16 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
186 |
165 |
$0.00 |
| D1110 |
Prophylaxis - adult |
14 |
12 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
82 |
71 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
60 |
52 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
50 |
45 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
276 |
113 |
$0.00 |