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DR SUNG Y LEE DMD A PROFESSIONAL CORPORATION
DR SUNG Y LEE DMD A PROFESSIONAL CORPORATION
NPI: 1962074997
· CORONA, CA 92882
· Dental Clinic/Center
· NPI assigned 07/09/2021
$792.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, SUNG YOUNG (PRESIDENT) |
| NPI Enumeration Date | 07/09/2021 |
Related Entities
Other providers sharing the same authorized official: LEE, SUNG YOUNG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$792.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$792.00 |