Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

P Z LEE DMD DENTAL CORPORATION

NPI: 1336857960 · ALHAMBRA, CA 91801 · Dental Clinic/Center · NPI assigned 11/14/2022

$19K
Total Medicaid Paid
332
Total Claims
303
Beneficiaries
5
Codes Billed
2023-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEE, PETER (DENTIST/PRESIDENT)
NPI Enumeration Date11/14/2022

Related Entities

Other providers sharing the same authorized official: LEE, PETER

ProviderCityStateTotal Paid
PETER C LEE MD AMC LOS ANGELES CA $164K
HAWAII PEDIATRIC DENTISTRY LLC EWA BEACH HI $14K
PETER Y. LEE DMD INC. ANAHEIM CA $11K
PROFESSIONAL HEARING HEALTHCARE ASSOCIATES, INC. WESTBOROUGH MA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 38 $3K
2024 294 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 163 163 $11K
D0210 Intraoral - complete series of radiographic images 69 69 $3K
D4341 42 13 $3K
D1110 Prophylaxis - adult 14 14 $1K
D1208 Topical application of fluoride, excluding varnish 44 44 $620.00