LEE, STEPHANIE
NPI: 1972728830
· DOVER, NJ 07801
· General Practice Dentistry
· NPI assigned 04/16/2007
$960.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$480.00 |
| 2019 |
24 |
$480.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
24 |
24 |
$480.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
15 |
13 |
$360.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$120.00 |