SANG MOK LEE, D.D.S., INC.
NPI: 1982093829
· ROWLAND HEIGHTS, CA 91748
· General Practice Dentistry
· NPI assigned 01/15/2015
Provider Details
| Authorized Official | LEE, SANG MOK (OWNER) |
| NPI Enumeration Date | 01/15/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
99 |
$3K |
| 2019 |
12 |
$792.00 |
| 2024 |
37 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
42 |
42 |
$3K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$672.00 |
| D0120 |
Periodic oral evaluation - established patient |
40 |
37 |
$552.00 |
| D0330 |
Panoramic radiographic image |
28 |
28 |
$450.00 |