Dental
Simon Lee Dental
Simon Lee Dental was paid $92K by Medicaid between Jan 2018 and Mar 2021, across 9 billing codes. Its largest line is D9430, — 27% of everything it billed.
33Billing provider infoSIMON LEE DENTAL
CLEARLAKE, CA 95422
CLEARLAKE, CA 95422
33aNPI1295845717assigned 08/30/2006
33bProvider typeDentist
28Total paid$92K
24GClaims2,508
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,391 of 2,314
Median peer was paid$185K
This provider vs. median0.5×
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 | 947 | $51K | |
| 2019 | 740 | $20K | |
| 2020 | 759 | $19K | |
| 2021 | 62 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9430 | 27% | 790 | 782 | $25K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 22% | 45 | 40 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 18% | 291 | 76 | $17K |
| D0330 | Panoramic radiographic image | 9.7% | 306 | 306 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.5% | 184 | 183 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 9.3% | 198 | 198 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.4% | 575 | 283 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 107 | 107 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 12 | 12 | $64.80 |
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, SIMON (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Simon Lee M D a Professional Corp | San Francisco, CA | $505K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.