Lee, Ja Eun

Lee, Ja Eun was paid $138K by Medicaid between Jan 2018 and Dec 2021, across 15 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 25% of everything it billed.

33Billing provider infoLEE, JA EUN
CLARKSVILLE, TN 37043

33aNPI1386930394assigned 06/28/2011

33bProvider typeDentist

28Total paid$138K

24GClaims5,571

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Dentist providers in Tennessee

Rank by total paid#131 of 242

Median peer was paid$164K

This provider vs. median0.8×

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	1,936	$59K
2019	1,743	$48K
2020	954	$16K
2021	938	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0210	Intraoral - complete series of radiographic images	25%	1,049	1,019	$34K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	20%	598	261	$27K
D2391	Resin-based composite - one surface, posterior, primary or permanent	16%	581	202	$22K
D0150	Comprehensive oral evaluation - new or established patient	14%	1,137	1,087	$19K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	5.9%	610	583	$8K
D0274	Bitewings - four radiographic images	4.5%	439	418	$6K
D1110	Prophylaxis - adult	4.4%	278	265	$6K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	3.8%	138	44	$5K
D1208	Topical application of fluoride, excluding varnish	2.9%	298	289	$4K
D0140	Limited oral evaluation - problem focused	2.3%	256	251	$3K
D1120	Dental cleaning, childProphylaxis - child	1.1%	75	74	$2K
D4355		<1%	18	18	$1K

3 more codes

D0272	Bitewings - two radiographic images	<1%	13	$173.29
D0220	Intraoral - periapical first radiographic image	<1%	61	$142.49
D0230	Intraoral - periapical each additional radiographic image	<1%	20	$5.51

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.