Lee, Bounghoon

Lee, Bounghoon was paid $4K by Medicaid between Jan 2018 and May 2018, across 5 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 59% of everything it billed.

33Billing provider infoLEE, BOUNGHOON
LITCHFIELD PARK, AZ 85340

33aNPI1215343512assigned 07/08/2014

33bProvider typeDentist

28Total paid$4K

24GClaims210

24DCodes billed5

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other Dentist providers in Arizona

Rank by total paid#181 of 468

Median peer was paid$686.85

This provider vs. median5.4×

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

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
2018	210	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	59%	98	98	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	33	33	$563.64
D1110	Prophylaxis - adult	12%	13	13	$443.69
D0274	Bitewings - four radiographic images	7.5%	14	14	$280.00
D0220	Intraoral - periapical first radiographic image	6.8%	52	49	$255.00

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.