LEE FAMILY I LLC
NPI: 1871040840
· ALEXANDRIA, VA 22304
· Dental Clinic/Center
· NPI assigned 09/07/2016
Provider Details
| Authorized Official | LEE, STEVEN (PRESIDENT) |
| NPI Enumeration Date | 09/07/2016 |
Related Entities
Other providers sharing the same authorized official: LEE, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
15 |
$469.65 |
| 2022 |
126 |
$11K |
| 2023 |
181 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
71 |
32 |
$8K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
29 |
12 |
$4K |
| D1110 |
Prophylaxis - adult |
63 |
63 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
44 |
44 |
$2K |
| D0274 |
Bitewings - four radiographic images |
40 |
40 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$995.60 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$982.66 |
| D0140 |
Limited oral evaluation - problem focused |
22 |
17 |
$710.16 |