Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Sung Kyu Lee DDS INC

Sung Kyu Lee DDS INC was paid $63K by Medicaid between Jan 2018 and Oct 2020, across 10 billing codes. Its largest line is D9430, — 32% of everything it billed.

33Billing provider infoSUNG KYU LEE DDS INC
DIAMOND BAR, CA 91765
33aNPI1043764293assigned 08/04/2016
33bProvider typeDentist
28Total paid$63K
24GClaims1,703
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,497 of 2,314
Median peer was paid$185K
This provider vs. median0.3×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20181,449$51K
2019215$11K
202039$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D9430 32% 720 583 $20K
D0150 Comprehensive oral evaluation - new or established patient 25% 322 317 $16K
D1110 Prophylaxis - adult 15% 136 136 $9K
D0210 Intraoral - complete series of radiographic images 11% 148 148 $7K
D9910 8.0% 119 116 $5K
D0330 Panoramic radiographic image 6.6% 175 170 $4K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient <1% 13 13 $585.00
D1208 Topical application of fluoride, excluding varnish <1% 43 43 $551.00
D0274 Bitewings - four radiographic images <1% 13 12 $216.00
D1206 Topical application of fluoride varnish <1% 14 14 $199.00

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.

From NPPES

Who's on the registration

Authorized officialLEE, SUNG KYU (DENTIST)