JU YOUNG LEE DDS INC
NPI: 1407380025
· LOS ANGELES, CA 90057
· General Practice Dentistry
· NPI assigned 04/20/2017
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, JU (DENTIST) |
| NPI Enumeration Date | 04/20/2017 |
Related Entities
Other providers sharing the same authorized official: LEE, JU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
762 |
$31K |
| 2019 |
786 |
$38K |
| 2020 |
455 |
$24K |
| 2021 |
298 |
$13K |
| 2022 |
80 |
$5K |
| 2023 |
25 |
$1K |
| 2024 |
27 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
964 |
963 |
$58K |
| D0330 |
Panoramic radiographic image |
736 |
735 |
$20K |
| D0210 |
Intraoral - complete series of radiographic images |
251 |
251 |
$12K |
| D1110 |
Prophylaxis - adult |
96 |
96 |
$8K |
| D7140 |
Extraction, erupted tooth or exposed root |
128 |
65 |
$7K |
| D4341 |
|
40 |
12 |
$3K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
22 |
14 |
$3K |
| D9430 |
|
59 |
58 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
110 |
110 |
$2K |
| D4910 |
|
12 |
12 |
$924.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$675.00 |