Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LEE & CHUNG DENTAL GROUP INC

NPI: 1033789730 · VAN NUYS, CA 91406 · General Practice Dentistry · NPI assigned 06/26/2021

$43K
Total Medicaid Paid
880
Total Claims
785
Beneficiaries
9
Codes Billed
2023-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEE, NATHAN (CEO)
NPI Enumeration Date06/26/2021

Related Entities

Other providers sharing the same authorized official: LEE, NATHAN

ProviderCityStateTotal Paid
ASHFORD HALL INC. IRVING TX $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 30 $2K
2024 850 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 218 218 $14K
D0210 Intraoral - complete series of radiographic images 175 175 $8K
D1110 Prophylaxis - adult 82 82 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 92 35 $6K
D2391 Resin-based composite - one surface, posterior, primary or permanent 39 15 $2K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 25 12 $2K
D0350 141 140 $1K
D1206 Topical application of fluoride varnish 58 58 $1K
D1208 Topical application of fluoride, excluding varnish 50 50 $715.50