Dental
Lee, Seon
Lee, Seon was paid $161K by Medicaid between Nov 2022 and May 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoLEE, SEON
WASHINGTON, DC 20002
WASHINGTON, DC 20002
33aNPI1003550088assigned 04/25/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$161K
24GClaims4,137
24DCodes billed16
24AFirst – last monthNov 2022 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in District of Columbia
Rank by total paid#27 of 93
Median peer was paid$36K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2022 | 712 | $22K | |
| 2023 | 2,365 | $97K | |
| 2024incomplete | 1,060 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 246 | 143 | $31K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 627 | 617 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 574 | 561 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 214 | 214 | $13K |
| D0272 | Bitewings - two radiographic images | 7.1% | 377 | 371 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 6.8% | 559 | 555 | $11K |
| D0274 | Bitewings - four radiographic images | 6.5% | 281 | 277 | $10K |
| D1110 | Prophylaxis - adult | 4.7% | 125 | 125 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.5% | 73 | 54 | $7K |
| D0330 | Panoramic radiographic image | 4.3% | 126 | 126 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 334 | 331 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.7% | 27 | 16 | $6K |
4 more codes
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.