Lee, Jared

Lee, Jared was paid $12K by Medicaid between Feb 2018 and Oct 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.

33Billing provider infoLEE, JARED
LOMA LINDA, CA 92354

33aNPI1235393190assigned 07/10/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims317

24DCodes billed5

24AFirst – last monthFeb 2018 – Oct 2020

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#2,141 of 2,668

Median peer was paid$173K

This provider vs. median0.1×

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	171	$6K
2019	96	$4K
2020	50	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	40%	117	112	$5K
D1120	Dental cleaning, childProphylaxis - child	38%	83	80	$5K
D1206	Topical application of fluoride varnish	18%	91	87	$2K
D0220	Intraoral - periapical first radiographic image	2.0%	13	12	$244.30
D0230	Intraoral - periapical each additional radiographic image	1.7%	13	12	$211.70

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.