Lee, David Blong

Lee, David Blong was paid $60K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.

33Billing provider infoLEE, DAVID BLONG
SHEBOYGAN, WI 53081

33aNPI1285846592assigned 05/07/2007

33bProvider typeDentist

28Total paid$60K

24GClaims2,850

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in Wisconsin

Rank by total paid#77 of 185

Median peer was paid$28K

This provider vs. median2.1×

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	428	$8K
2019	541	$10K
2020	353	$6K
2021	389	$7K
2022	397	$10K
2023	456	$12K
2024incomplete	286	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	40%	780	769	$24K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	846	834	$14K
D1206	Topical application of fluoride varnish	12%	414	411	$7K
D1208	Topical application of fluoride, excluding varnish	8.0%	378	374	$5K
D0150	Comprehensive oral evaluation - new or established patient	4.6%	124	115	$3K
D1120	Dental cleaning, childProphylaxis - child	4.5%	108	108	$3K
D0140	Limited oral evaluation - problem focused	2.2%	69	64	$1K
D0210	Intraoral - complete series of radiographic images	2.2%	24	24	$1K
D0274	Bitewings - four radiographic images	1.6%	51	50	$935.02
D0220	Intraoral - periapical first radiographic image	<1%	56	53	$513.40

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.