Lee, Stacey

Lee, Stacey was paid $6K by Medicaid between Feb 2023 and Dec 2024, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 39% of everything it billed.

33Billing provider infoLEE, STACEY
BAYTOWN, TX 77521

33aNPI1376155820assigned 08/17/2020

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims265

24DCodes billed9

24AFirst – last monthFeb 2023 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#2,022 of 2,774

Median peer was paid$43K

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

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
2023	13	$147.00
2024incomplete	252	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	39%	24	13	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	36	36	$1K
D0230	Intraoral - periapical each additional radiographic image	12%	63	39	$725.13
D1120	Dental cleaning, childProphylaxis - child	11%	19	19	$698.25
D1208	Topical application of fluoride, excluding varnish	8.5%	39	39	$529.20
D0220	Intraoral - periapical first radiographic image	8.3%	43	43	$514.96
D0272	Bitewings - two radiographic images	4.5%	12	12	$280.56
D0603		0%	14	14	$0.00
D0602		0%	15	15	$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.