Dental
Lee, Allen
Lee, Allen was paid $75K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 25% of everything it billed.
33Billing provider infoLEE, ALLEN
SAN GABRIEL, CA 91776
SAN GABRIEL, CA 91776
33aNPI1124171400assigned 01/19/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$75K
24GClaims3,210
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,661 of 2,668
Median peer was paid$173K
This provider vs. median0.4×
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 | 563 | $12K | |
| 2019 | 683 | $16K | |
| 2020 | 245 | $5K | |
| 2021 | 429 | $9K | |
| 2022 | 486 | $14K | |
| 2023 | 520 | $11K | |
| 2024incomplete | 284 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 25% | 1,020 | 972 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 335 | 328 | $19K |
| D1110 | Prophylaxis - adult | 23% | 197 | 197 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 15% | 945 | 878 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 713 | 704 | $10K |
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.