Dental
Long, Lee
Long, Lee was paid $545.00 by Medicaid between Jan 2018 and Jan 2018, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 59% of everything it billed.
33Billing provider infoLONG, LEE
TILLAMOOK, OR 97141
TILLAMOOK, OR 97141
33aNPI1073723953assigned 05/22/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$545.00
24GClaims25
24DCodes billed2
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#244 of 311
Median peer was paid$6K
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 | |
|---|---|---|---|
| 2018 | 25 | $545.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 59% | 12 | 12 | $324.00 |
| D1206 | Topical application of fluoride varnish | 41% | 13 | 13 | $221.00 |
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.