Dental
Lee, Jae
Lee, Jae was paid $229.92 by Medicaid between Mar 2018 and Jul 2019, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.
33Billing provider infoLEE, JAE
SUWANEE, GA 30024
SUWANEE, GA 30024
33aNPI1346658192assigned 07/24/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$229.92
24GClaims42
24DCodes billed2
24AFirst – last monthMar 2018 – Jul 2019
Compared with peers
Next to other General Practice Dentistry providers in Georgia
Rank by total paid#63 of 63
Median peer was paid$30K
This provider vs. median0.0×
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 | 13 | $45.96 | |
| 2019 | 29 | $183.96 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 55% | 14 | 14 | $126.68 |
| D0220 | Intraoral - periapical first radiographic image | 45% | 28 | 28 | $103.24 |
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.