Dental
Le, Tin
Le, Tin was paid $283.55 by Medicaid between Aug 2018 and Aug 2018, across 2 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 56% of everything it billed.
33Billing provider infoLE, TIN
UNION CITY, CA 94587
UNION CITY, CA 94587
33aNPI1023161312assigned 01/19/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$283.55
24GClaims46
24DCodes billed2
24AFirst – last monthAug 2018 – Aug 2018
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,591 of 2,668
Median peer was paid$173K
This provider vs. median0.0×
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 | 46 | $283.55 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 56% | 15 | 15 | $158.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 44% | 31 | 15 | $125.55 |
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.