Clinic
Kevin Thai Le DDS, INC
Kevin Thai Le DDS, INC was paid $14K by Medicaid between Feb 2020 and Sep 2024, across 7 billing codes. Its largest line is D9110, — 36% of everything it billed.
33Billing provider infoKEVIN THAI LE DDS, INC
RESEDA, CA 91335
RESEDA, CA 91335
33aNPI1295393445assigned 06/03/2019
33bProvider typeDental Clinic/Center
28Total paid$14K
24GClaims375
24DCodes billed7
24AFirst – last monthFeb 2020 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#933 of 1,135
Median peer was paid$200K
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 | |
|---|---|---|---|
| 2020 | 30 | $360.00 | |
| 2021 | 31 | $2K | |
| 2023 | 259 | $10K | |
| 2024incomplete | 55 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9110 | 36% | 80 | 73 | $5K | |
| D2330 | 34% | 61 | 38 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | 12% | 140 | 122 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 13 | 13 | $970.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 6.8% | 43 | 42 | $947.70 |
| D0272 | Bitewings - two radiographic images | 2.1% | 24 | 24 | $288.00 |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 14 | 14 | $207.00 |
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.
From NPPES
Who's on the registration
Authorized officialLE, KEVIN (CEO)