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DR. SUSANA MOON LEE D.M.D
NPI 1295055325
Dentist in Vancouver, WA

Active since June 11, 2010PECOS Enrolled
9609 E MILL PLAIN BLVD, VANCOUVER, WA 98664(855) 433-6825 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Oct 17, 2017 (2 updates tracked since 2017).

About Dr. Susana Moon Lee D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSANA MOON LEE D.M.D (NPI 1295055325) is an individual dentist in Vancouver, Washington, licensed in Washington (DE 60317329) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295055325
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SUSANA MOON LEECredential: D.M.D
Location Address9609 E MILL PLAIN BLVDVancouver, WA 98664-3478
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (855) 433-6825
Phone(855) 433-6825
Sole ProprietorNo
Enumeration DateJune 11, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1295055325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE 60317329
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9609 E MILL PLAIN BLVD, Vancouver, WA 98664
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Other Names 1

Former Name (1)Susana Moon-cho D.m.d

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susana Moon Lee D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98664 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID RYAN MORRISON D.M.D.
Dentist
9609 E MILL PLAIN BLVD
VANCOUVER, WA 98664
Clark County (360) 896-3022
JUDY FU DMD
Dentist
9609 E MILL PLAIN BLVD
VANCOUVER, WA 98664
Clark County (855) 433-6825
AMY K LEE RDH
Dental Hygienist
9609 E MILL PLAIN BLVD
VANCOUVER, WA 98664
Clark County (855) 433-6825
CLAIRE SUNYOUNG YI DMD
Dentist
9609 E MILL PLAIN BLVD
VANCOUVER, WA 98664
Clark County (855) 433-6825
MRS. CHELSEA ANN GRESS RDH
Dental Hygienist
9609 E MILL PLAIN BLVD
VANCOUVER, WA 98664
Clark County (855) 433-6825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susana Lee's NPI number?

The NPI number for Susana Lee is 1295055325. It was assigned to this individual provider in the NPPES registry on June 11, 2010. The provider is also known as Susana Moon-Cho D.M.D.

Where is Susana Lee located?

Susana Lee practices at 9609 E Mill Plain Blvd, Vancouver, WA 98664. The listed phone number is (855) 433-6825.

What is Susana Lee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Susana Lee enrolled in Medicare?

Yes. Susana Lee is registered in the Medicare PECOS enrollment system.

What insurance does Susana Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Susana Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susana Lee was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.