Lee, Elisabeth

Lee, Elisabeth was paid $5K by Medicaid between May 2019 and Feb 2020, across 5 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 39% of everything it billed.

33Billing provider infoLEE, ELISABETH
CLEVELAND HEIGHTS, OH 44121

33aNPI1023305364assigned 07/07/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims299

24DCodes billed5

24AFirst – last monthMay 2019 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#649 of 870

Median peer was paid$40K

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
2019	236	$4K
2020	63	$999.96

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	39%	132	132	$2K
D1120	Dental cleaning, childProphylaxis - child	30%	78	78	$2K
D0150	Comprehensive oral evaluation - new or established patient	13%	25	25	$658.75
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	40	40	$631.96
D0272	Bitewings - two radiographic images	4.6%	24	24	$230.00

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.