Dental
S Lee Dental Corporation
S Lee Dental Corporation was paid $77K by Medicaid between Jan 2018 and Aug 2021, across 12 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 22% of everything it billed.
33Billing provider infoS LEE DENTAL CORPORATION
CRESTLINE, CA 92325
CRESTLINE, CA 92325
33aNPI1376793133assigned 09/29/2008
33bProvider typeDentist
28Total paid$77K
24GClaims5,390
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,434 of 2,314
Median peer was paid$185K
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 | 2,050 | $31K | |
| 2019 | 2,152 | $35K | |
| 2020 | 391 | $3K | |
| 2021 | 797 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 22% | 311 | 310 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 3,387 | 781 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 380 | 379 | $11K |
| D1110 | Prophylaxis - adult | 13% | 144 | 143 | $10K |
| D0274 | Bitewings - four radiographic images | 13% | 496 | 495 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 7.0% | 103 | 52 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 147 | 147 | $3K |
| D1206 | Topical application of fluoride varnish | 3.9% | 328 | 327 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.7% | 21 | 13 | $1K |
| D9430 | <1% | 14 | 14 | $392.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 28 | 27 | $324.00 |
| D0272 | Bitewings - two radiographic images | <1% | 31 | 31 | $300.00 |
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.
From NPPES
Who's on the registration
Authorized officialLEE, SEAN (EMPLOYER)
| Provider | Location | Paid |
|---|---|---|
| Children's Bureau INC. | Memphis, TN | $5.52M |
| Lee and Burack Ob/Gyn, P.C. | Albany, NY | $154K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.