LE, JONATHAN
NPI: 1972217594
· CHERRY HILL, NJ 08034
· General Practice Dentistry
· NPI assigned 01/09/2023
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
198 |
$5K |
| 2024 |
97 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
143 |
137 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
77 |
71 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
19 |
18 |
$855.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
15 |
$675.00 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
24 |
$105.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$93.75 |