BRYAN LEE, DDS, MD

Oral & Maxillofacial Surgery (D.M.D.) · REXBURG, ID

Individual Active Opted out of Medicare NPI 1790905495

Medicare payment data Part B · 2023

YearBeneficiariesServicesSubmittedAllowedPaid
202349121$117,829$19,956$14,707
202256377$123,127$23,482$16,785

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000XM-11482ID
General Practice Dentistry1223G0001XD-3542ID
Oral and Maxillofacial Surgery (Dentist)1223S0112XD-3542-OSID

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2026-07-01 through 2028-07-01.

Other Oral & Maxillofacial Surgery (D.M.D.) providers in Idaho

See all Oral & Maxillofacial Surgery (D.M.D.) providers in Idaho

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.