JAEIK LEE DMD PC
NPI: 1982085908
· SAUGUS, MA 01906
· Clinic/Center
· NPI assigned 06/16/2015
Provider Details
| Authorized Official | LEE, JAEIK (DENTIST) |
| NPI Enumeration Date | 06/16/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
55 |
$3K |
| 2022 |
198 |
$9K |
| 2023 |
330 |
$13K |
| 2024 |
306 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
616 |
585 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
260 |
247 |
$6K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$488.00 |