Clinic
Jung Yeol Lee DMD INC
Jung Yeol Lee DMD INC was paid $200K by Medicaid between Nov 2022 and Nov 2024, across 11 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.
33Billing provider infoJUNG YEOL LEE DMD INC
RANCHO CUCAMONGA, CA 91737
RANCHO CUCAMONGA, CA 91737
33aNPI1184341216assigned 10/19/2022
33bProvider typeDental Clinic/Center
28Total paid$200K
24GClaims5,213
24DCodes billed11
24AFirst – last monthNov 2022 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#567 of 1,135
Median peer was paid$200K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2022 | 350 | $14K | |
| 2023 | 2,523 | $95K | |
| 2024incomplete | 2,340 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 31% | 928 | 486 | $62K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 25% | 905 | 504 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 421 | 421 | $28K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.4% | 248 | 248 | $13K |
| D1110 | Prophylaxis - adult | 5.8% | 130 | 130 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 134 | 134 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 592 | 592 | $9K |
| D0274 | Bitewings - four radiographic images | 3.1% | 295 | 295 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 1,469 | 485 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 1.9% | 79 | 79 | $4K |
| D9430 | <1% | 12 | 12 | $384.00 |
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, JUNG (CEO)