Medicaid Provider Spending

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

WAI KEE LEE DMD PC

NPI: 1437500295 · NORTH ANDOVER, MA 01845 · Dentist · NPI assigned 06/23/2016

$65K
Total Medicaid Paid
1,644
Total Claims
1,540
Beneficiaries
7
Codes Billed
2018-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEE, WAI (PRESIDENT)
NPI Enumeration Date06/23/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47 $2K
2019 89 $3K
2020 52 $2K
2021 150 $6K
2022 450 $19K
2023 562 $22K
2024 294 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 686 659 $36K
D0120 Periodic oral evaluation - established patient 692 667 $17K
D2391 Resin-based composite - one surface, posterior, primary or permanent 69 27 $4K
D0150 Comprehensive oral evaluation - new or established patient 81 75 $3K
D0274 Bitewings - four radiographic images 61 59 $2K
D1120 Prophylaxis - child 28 26 $1K
D1208 Topical application of fluoride, excluding varnish 27 27 $813.00