Clinic
Ignatius K. Lee DDS PA
Ignatius K. Lee DDS PA was paid $11K by Medicaid between Jul 2024 and Sep 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.
33Billing provider infoIGNATIUS K. LEE DDS PA
BURNSVILLE, MN 55306
BURNSVILLE, MN 55306
33aNPI1386397065assigned 02/01/2022
33bProvider typeDental Clinic/Center
28Total paid$11K
24GClaims257
24DCodes billed6
24AFirst – last monthJul 2024 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#101 of 148
Median peer was paid$70K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 257 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 41% | 79 | 79 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 67 | 67 | $3K |
| D0274 | Bitewings - four radiographic images | 19% | 60 | 60 | $2K |
| D1206 | Topical application of fluoride varnish | 6.3% | 25 | 25 | $707.87 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.0% | 14 | 14 | $446.13 |
| D1330 | 3.0% | 12 | 12 | $339.00 |
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, IGNATIUS (OWNER/PRESIDENT)