NPI: 1922507607 · VANCOUVER, WA 98665 · Dental Clinic/Center · NPI assigned 02/07/2018
Authorized official LEE, JOHN controls 20+ related entities in our dataset. Read more
| Authorized Official | LEE, JOHN (DENTIST/ OWNER) |
| NPI Enumeration Date | 02/07/2018 |
Other providers sharing the same authorized official: LEE, JOHN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,371 | $132K |
| 2019 | 2,583 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 755 | 427 | $45K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 324 | 195 | $16K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 778 | 631 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 433 | 419 | $14K |
| D1120 | Prophylaxis - child | 577 | 561 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 1,469 | 1,346 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 796 | 777 | $11K |
| D1110 | Prophylaxis - adult | 280 | 273 | $10K |
| D0120 | Periodic oral evaluation - established patient | 433 | 428 | $10K |
| D0140 | Limited oral evaluation - problem focused | 499 | 441 | $9K |
| D0272 | Bitewings - two radiographic images | 766 | 753 | $8K |
| D0330 | Panoramic radiographic image | 118 | 113 | $4K |
| D1351 | Sealant - per tooth | 218 | 62 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 48 | 27 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,257 | 940 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 44 | 33 | $3K |
| D9110 | 30 | 27 | $1K | |
| D1206 | Topical application of fluoride varnish | 87 | 85 | $1K |
| D9999 | Unspecified adjunctive procedure, by report | 13 | 12 | $275.80 |
| D1354 | 29 | 14 | $87.00 |