Dental
Lee, Sang
Lee, Sang was paid $61K by Medicaid between Nov 2020 and Nov 2021, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoLEE, SANG
BENTLEYVILLE, PA 15314
BENTLEYVILLE, PA 15314
33aNPI1265937601assigned 03/27/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$61K
24GClaims2,121
24DCodes billed12
24AFirst – last monthNov 2020 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#355 of 847
Median peer was paid$37K
This provider vs. median1.7×
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 | 214 | $6K | |
| 2021 | 1,907 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 403 | 400 | $14K |
| D0274 | Bitewings - four radiographic images | 16% | 355 | 352 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 422 | 421 | $8K |
| D0330 | Panoramic radiographic image | 11% | 180 | 179 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.3% | 77 | 47 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.5% | 198 | 196 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 6.4% | 63 | 25 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.8% | 70 | 45 | $4K |
| D1351 | Sealant - per tooth | 4.1% | 99 | 16 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 80 | 80 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 155 | 151 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 19 | 19 | $570.00 |
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.