Lee, Susan

Lee, Susan was paid $4K by Medicaid between May 2018 and Jan 2020, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 47% of everything it billed.

33Billing provider infoLEE, SUSAN
JAFFREY, NH 03452

33aNPI1306238167assigned 03/03/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$4K

24GClaims202

24DCodes billed3

24AFirst – last monthMay 2018 – Jan 2020

Compared with peers

Next to other General Practice Dentistry providers in New Hampshire

Rank by total paid#55 of 89

Median peer was paid$11K

This provider vs. median0.4×

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	136	$3K
2019	41	$835.75
2020	25	$506.50

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	47%	98	98	$2K
D1206	Topical application of fluoride varnish	42%	87	87	$2K
D1120	Dental cleaning, childProphylaxis - child	12%	17	17	$495.00

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.