Medicaid Provider Spending

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

IGNATIUS K. LEE DDS PA

NPI: 1386397065 · BURNSVILLE, MN 55306 · Dental Clinic/Center · NPI assigned 02/01/2022

$11K
Total Medicaid Paid
257
Total Claims
257
Beneficiaries
6
Codes Billed
2024-07
First Month
2024-09
Last Month

Provider Details

Authorized OfficialLEE, IGNATIUS (OWNER/PRESIDENT)
NPI Enumeration Date02/01/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 257 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 79 79 $5K
D0150 Comprehensive oral evaluation - new or established patient 67 67 $3K
D0274 Bitewings - four radiographic images 60 60 $2K
D1206 Topical application of fluoride varnish 25 25 $707.87
D0120 Periodic oral evaluation - established patient 14 14 $446.13
D1330 12 12 $339.00