Dental
Divine Dental PC
Divine Dental PC was paid $8K by Medicaid between Mar 2018 and Sep 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoDIVINE DENTAL PC
FLUSHING, NY 11355
FLUSHING, NY 11355
33aNPI1235454208assigned 04/02/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims477
24DCodes billed5
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,627 of 2,184
Median peer was paid$54K
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 | 12 | $60.00 | |
| 2019 | 171 | $3K | |
| 2020 | 136 | $2K | |
| 2021 | 25 | $216.96 | |
| 2023 | 51 | $721.98 | |
| 2024incomplete | 82 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 75 | 75 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 23% | 206 | 199 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 66 | 66 | $2K |
| D0274 | Bitewings - four radiographic images | 10% | 38 | 38 | $816.98 |
| D0230 | Intraoral - periapical each additional radiographic image | 8.0% | 92 | 90 | $630.04 |
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, KEVIN (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Kevin S. Lee, M.D. & Stephen S. Lee, M.D.,Pc | Flushing, NY | $80K |
| Journeypure Murfreesboro LLC | Murfreesboro, TN | $64K |
| Kevin T. Lee, M.D., a Professional Corporation | Temple City, CA | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.