Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Louisburg › NPI 1174797013
Dental

Lee, Dong Hoon

Lee, Dong Hoon was paid $42K by Medicaid between Jan 2018 and Oct 2018, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.

33Billing provider infoLEE, DONG HOON
LOUISBURG, NC 27549
33aNPI1174797013assigned 04/22/2008
28Total paid$42K
24GClaims1,395
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers

Next to other General Practice Dentistry providers in North Carolina

Rank by total paid#477 of 756
Median peer was paid$121K
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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,395$42K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 17% 214 210 $7K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 16% 292 287 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12% 54 27 $5K
D1120 Dental cleaning, childProphylaxis - child 11% 198 194 $5K
D0150 Comprehensive oral evaluation - new or established patient 11% 118 117 $5K
D1208 Topical application of fluoride, excluding varnish 9.8% 270 266 $4K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 8.1% 33 12 $3K
D0274 Bitewings - four radiographic images 5.8% 84 84 $2K
D0330 Panoramic radiographic image 4.9% 45 44 $2K
D0272 Bitewings - two radiographic images 1.2% 31 31 $527.70
D0220 Intraoral - periapical first radiographic image 1.0% 34 31 $441.76
D0230 Intraoral - periapical each additional radiographic image <1% 22 12 $294.31

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.