Lee, Susan

Lee, Susan was paid $24K by Medicaid between Aug 2022 and Jun 2023, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.

33Billing provider infoLEE, SUSAN
CORONA, CA 92882

33aNPI1093921421assigned 05/15/2007

33bProvider typeDentist

28Total paid$24K

24GClaims542

24DCodes billed7

24AFirst – last monthAug 2022 – Jun 2023

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,720 of 2,314

Median peer was paid$185K

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
2022	304	$14K
2023	238	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	36%	108	104	$9K
D1110	Prophylaxis - adult	32%	85	70	$8K
D0150	Comprehensive oral evaluation - new or established patient	14%	49	42	$3K
D1120	Dental cleaning, childProphylaxis - child	7.8%	36	36	$2K
D0220	Intraoral - periapical first radiographic image	4.8%	95	90	$1K
D0230	Intraoral - periapical each additional radiographic image	2.7%	156	51	$631.80
D0210	Intraoral - complete series of radiographic images	2.6%	13	12	$624.00

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.