Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Lee, Kyung Hyun

Lee, Kyung Hyun was paid $2K by Medicaid between Jun 2023 and Jun 2024, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 100% of everything it billed.

33Billing provider infoLEE, KYUNG HYUN
SPRINGFIELD, VA 22150
33aNPI1326705955assigned 11/18/2021
33bProvider typeDentist
28Total paid$2K
24GClaims531
24DCodes billed9
24AFirst – last monthJun 2023 – Jun 2024
Compared with peers

Next to other Dentist providers in Virginia

Rank by total paid#333 of 417
Median peer was paid$34K
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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2023101$2K
2024incomplete430$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 100% 50 26 $2K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 0% 156 156 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 54 32 $0.00
D0140 Limited oral evaluation - problem focused 0% 15 15 $0.00
D0150 Comprehensive oral evaluation - new or established patient 0% 17 17 $0.00
D1110 Prophylaxis - adult 0% 89 88 $0.00
D0274 Bitewings - four radiographic images 0% 60 60 $0.00
D0220 Intraoral - periapical first radiographic image 0% 76 74 $0.00
D1120 Dental cleaning, childProphylaxis - child 0% 14 14 $0.00

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.