KYU H LEE DMD,INC
NPI: 1124493499
· COLTON, CA 92324
· Dentist
· NPI assigned 12/11/2015
$484K
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, KYU (PRESIDENT) |
| NPI Enumeration Date | 12/11/2015 |
Related Entities
Other providers sharing the same authorized official: LEE, KYU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,547 |
$101K |
| 2019 |
2,246 |
$72K |
| 2020 |
1,092 |
$27K |
| 2021 |
1,372 |
$35K |
| 2022 |
1,720 |
$61K |
| 2023 |
2,097 |
$74K |
| 2024 |
2,495 |
$113K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
2,289 |
1,219 |
$153K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,452 |
1,446 |
$87K |
| D0120 |
Periodic oral evaluation - established patient |
1,704 |
1,695 |
$51K |
| D0210 |
Intraoral - complete series of radiographic images |
1,130 |
1,123 |
$51K |
| D1120 |
Prophylaxis - child |
1,270 |
1,264 |
$42K |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,918 |
2,285 |
$19K |
| D2160 |
|
174 |
123 |
$14K |
| D9430 |
|
435 |
422 |
$13K |
| D1206 |
Topical application of fluoride varnish |
960 |
954 |
$13K |
| D0274 |
Bitewings - four radiographic images |
628 |
625 |
$12K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
49 |
27 |
$6K |
| D2140 |
|
101 |
73 |
$5K |
| D4341 |
|
52 |
14 |
$4K |
| D1110 |
Prophylaxis - adult |
54 |
53 |
$3K |
| D0272 |
Bitewings - two radiographic images |
259 |
258 |
$3K |
| D9993 |
|
39 |
39 |
$3K |
| D1310 |
|
39 |
39 |
$2K |
| D2954 |
|
16 |
14 |
$2K |