Medicaid Provider Spending

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

CHARLES C. LEE DDS, INC

NPI: 1124491121 · ESCONDIDO, CA 92025 · Dentist · NPI assigned 11/12/2015

$40K
Total Medicaid Paid
915
Total Claims
906
Beneficiaries
7
Codes Billed
2020-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialLEE, CHARLES (OWNER)
NPI Enumeration Date11/12/2015

Related Entities

Other providers sharing the same authorized official: LEE, CHARLES

ProviderCityStateTotal Paid
MOLECULAR MATRIX, INC. RANCHO CORDOVA CA $150K
CORNERSTONE HEALTH SERVICES LLC TAVARES FL $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 87 $4K
2021 272 $12K
2022 347 $15K
2023 143 $5K
2024 66 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 162 157 $14K
D0120 Periodic oral evaluation - established patient 143 139 $9K
D0150 Comprehensive oral evaluation - new or established patient 110 110 $7K
D1208 Topical application of fluoride, excluding varnish 326 326 $5K
D0274 Bitewings - four radiographic images 150 150 $3K
D1120 Prophylaxis - child 12 12 $630.00
D0210 Intraoral - complete series of radiographic images 12 12 $576.00