Dental
Soonki Lee DDS PC
Soonki Lee DDS PC was paid $28K by Medicaid between Aug 2019 and Oct 2024, across 10 billing codes. Its largest line is D9110, — 29% of everything it billed.
33Billing provider infoSOONKI LEE DDS PC
LOS ANGELES, CA 90006
LOS ANGELES, CA 90006
33aNPI1033618681assigned 02/09/2018
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$28K
24GClaims1,105
24DCodes billed10
24AFirst – last monthAug 2019 – Oct 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in California
Rank by total paid#66 of 94
Median peer was paid$192K
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 | 15 | $990.00 | |
| 2021 | 176 | $5K | |
| 2022 | 107 | $799.80 | |
| 2023 | 408 | $5K | |
| 2024incomplete | 399 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9110 | 29% | 129 | 122 | $8K | |
| D1110 | Prophylaxis - adult | 20% | 67 | 67 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 72 | 72 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.2% | 38 | 12 | $3K |
| D1206 | Topical application of fluoride varnish | 7.5% | 133 | 133 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.5% | 382 | 235 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 5.0% | 118 | 102 | $1K |
| D0330 | Panoramic radiographic image | 3.1% | 30 | 30 | $870.00 |
| D0350 | 2.3% | 72 | 25 | $643.20 | |
| D0274 | Bitewings - four radiographic images | 2.2% | 64 | 64 | $626.40 |
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.
From NPPES
Who's on the registration
Authorized officialLEE, SOONKI (OWNER)