Dental
Le, Nick
Le, Nick was paid $27K by Medicaid between Jul 2018 and May 2019, across 11 billing codes. Its largest line is D4341, — 18% of everything it billed.
33Billing provider infoLE, NICK
FONTANA, CA 92335
FONTANA, CA 92335
33aNPI1003235631assigned 04/10/2014
33bProvider typeDentist
28Total paid$27K
24GClaims1,063
24DCodes billed11
24AFirst – last monthJul 2018 – May 2019
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,689 of 2,314
Median peer was paid$185K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 648 | $14K | |
| 2019 | 415 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4341 | 18% | 60 | 25 | $5K | |
| D1206 | Topical application of fluoride varnish | 13% | 202 | 200 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 115 | 115 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 42 | 24 | $3K |
| D0274 | Bitewings - four radiographic images | 10% | 114 | 114 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 9.9% | 217 | 212 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.5% | 65 | 65 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.0% | 39 | 28 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.4% | 172 | 150 | $1K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 25 | 25 | $875.00 |
| D1110 | Prophylaxis - adult | 2.1% | 12 | 12 | $564.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.