Clinic
Nomi So-Lee Dental INC
Nomi So-Lee Dental INC was paid $130K by Medicaid between Jun 2018 and Nov 2024, across 14 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 24% of everything it billed.
33Billing provider infoNOMI SO-LEE DENTAL INC
REDLANDS, CA 92373
REDLANDS, CA 92373
33aNPI1407224884assigned 09/02/2015
33bProvider typeDental Clinic/Center
28Total paid$130K
24GClaims4,947
24DCodes billed14
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#642 of 1,135
Median peer was paid$200K
This provider vs. median0.7×
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 | 1,272 | $55K | |
| 2019 | 468 | $22K | |
| 2020 | 227 | $6K | |
| 2021 | 429 | $8K | |
| 2022 | 517 | $7K | |
| 2023 | 1,288 | $18K | |
| 2024incomplete | 746 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 484 | 484 | $31K |
| D1110 | Prophylaxis - adult | 18% | 265 | 265 | $24K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,015 | 1,013 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 197 | 101 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 10% | 275 | 275 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 1,896 | 317 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.0% | 55 | 35 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.4% | 159 | 159 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 81 | 48 | $4K |
| D0350 | 2.9% | 321 | 135 | $4K | |
| D0274 | Bitewings - four radiographic images | 2.2% | 136 | 136 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 25 | 19 | $2K |
2 more codes
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, NOMI (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Nomi Lee DDS INC | Beaumont, CA | $386K |
| Nomi Lee Dental Group INC | Colton, CA | $166K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.