Dahl, Lee

Dahl, Lee was paid $14K by Medicaid between Sep 2020 and Dec 2020, across 8 billing codes. Its largest line is D1351, Sealant - per tooth — 28% of everything it billed.

33Billing provider infoDAHL, LEE
LAUREL, NE 68745

33aNPI1215011424assigned 10/24/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$14K

24GClaims787

24DCodes billed8

24AFirst – last monthSep 2020 – Dec 2020

Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#110 of 201

Median peer was paid$21K

This provider vs. median0.7×

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
2020	787	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1351	Sealant - per tooth	28%	197	43	$4K
D1120	Dental cleaning, childProphylaxis - child	25%	156	146	$4K
D1206	Topical application of fluoride varnish	18%	193	182	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	147	144	$2K
D0272	Bitewings - two radiographic images	5.3%	48	47	$769.39
D1110	Prophylaxis - adult	3.2%	13	13	$465.66
D0150	Comprehensive oral evaluation - new or established patient	3.1%	19	19	$447.26
D0274	Bitewings - four radiographic images	2.4%	14	14	$343.98

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.