Dental
Gundong Lee DDS, INC
Gundong Lee DDS, INC was paid $45K by Medicaid between Mar 2019 and Dec 2024, across 12 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 45% of everything it billed.
33Billing provider infoGUNDONG LEE DDS, INC
FULLERTON, CA 92832
FULLERTON, CA 92832
33aNPI1164987673assigned 02/08/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$45K
24GClaims2,450
24DCodes billed12
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,819 of 2,668
Median peer was paid$173K
This provider vs. median0.3×
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 | 1,522 | $31K | |
| 2020 | 142 | $1K | |
| 2021 | 46 | $198.45 | |
| 2022 | 202 | $6K | |
| 2023 | 220 | $3K | |
| 2024incomplete | 318 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 45% | 307 | 306 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 144 | 144 | $7K |
| D0350 | 9.9% | 587 | 225 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | 9.7% | 997 | 232 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.6% | 90 | 90 | $3K |
| D9430 | 5.5% | 79 | 71 | $2K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.5% | 19 | 19 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 107 | 107 | $1K |
| D0272 | Bitewings - two radiographic images | 1.2% | 44 | 44 | $528.00 |
| D1206 | Topical application of fluoride varnish | <1% | 24 | 24 | $416.00 |
| D1320 | <1% | 24 | 24 | $402.50 | |
| D0274 | Bitewings - four radiographic images | <1% | 28 | 28 | $324.00 |
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.
From NPPES
Who's on the registration
Authorized officialLEE, GUNDONG (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gundong Lee Dental Corporation | Bellflower, CA | $460K |
| Shin & Lee DDS, INC | Lynwood, CA | $294K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.