HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
NPI: 1831423292
· ISSAQUAH, WA 98027
· Pediatric Dentist
· NPI assigned 10/01/2009
$182K
Total Medicaid Paid
Provider Details
| Authorized Official | MCINTOSH, LANETTE (REGIONAL OPERATIONS MANAGER) |
| NPI Enumeration Date | 10/01/2009 |
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 |
RENTON |
WA |
$152K |
| 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 |
1,258 |
$25K |
| 2019 |
954 |
$20K |
| 2020 |
328 |
$7K |
| 2021 |
1,259 |
$25K |
| 2022 |
1,414 |
$29K |
| 2023 |
1,282 |
$36K |
| 2024 |
1,425 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,895 |
2,871 |
$77K |
| D1120 |
Prophylaxis - child |
2,334 |
2,315 |
$55K |
| D1206 |
Topical application of fluoride varnish |
2,506 |
2,479 |
$47K |
| D1110 |
Prophylaxis - adult |
41 |
41 |
$2K |
| D0272 |
Bitewings - two radiographic images |
120 |
119 |
$1K |
| D1999 |
|
24 |
24 |
$240.00 |