Dental
Lee, Jessica
Lee, Jessica was paid $272K by Medicaid between Nov 2019 and Dec 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoLEE, JESSICA
CHAMBERSBURG, PA 17201
CHAMBERSBURG, PA 17201
33aNPI1144541095assigned 06/15/2010
33bProvider typePediatric Dentist
28Total paid$272K
24GClaims2,084
24DCodes billed12
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#78 of 237
Median peer was paid$109K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2019 | 535 | $22K | |
| 2021 | 15 | $3K | |
| 2023 | 216 | $26K | |
| 2024incomplete | 1,318 | $221K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 92% | 590 | 568 | $250K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.3% | 89 | 34 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 75 | 29 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 400 | 399 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 328 | 326 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 218 | 217 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 106 | 106 | $750.85 |
| D1351 | Sealant - per tooth | <1% | 24 | 13 | $618.00 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 27 | 27 | $556.20 |
| D1354 | <1% | 30 | 14 | $224.20 | |
| D1330 | 0% | 184 | 183 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 13 | 12 | $0.00 |
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.