Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Lee, Kyu

Lee, Kyu was paid $371K by Medicaid between Mar 2018 and Sep 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 16% of everything it billed.

33Billing provider infoLEE, KYU
MECHANICSVILLE, VA 23111
33aNPI1467642181assigned 07/30/2007
28Total paid$371K
24GClaims12,458
24DCodes billed17
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers

Next to other General Practice Dentistry providers in Virginia

Rank by total paid#97 of 549
Median peer was paid$29K
This provider vs. median13×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018500$14K
20192,902$90K
2020504$13K
2021678$18K
20223,052$104K
20233,646$132K
2024incomplete1,176$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 16% 1,454 1,420 $60K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 15% 645 359 $57K
D0274 Bitewings - four radiographic images 9.3% 1,442 1,404 $34K
D0330 Panoramic radiographic image 8.5% 760 649 $32K
D0150 Comprehensive oral evaluation - new or established patient 6.9% 1,071 840 $26K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 6.4% 1,329 1,309 $24K
D1208 Topical application of fluoride, excluding varnish 5.7% 982 971 $21K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.8% 239 129 $18K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 4.8% 218 121 $18K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 4.3% 114 80 $16K
D0230 Intraoral - periapical each additional radiographic image 4.0% 1,477 923 $15K
D0220 Intraoral - periapical first radiographic image 3.5% 1,670 1,484 $13K
5 more codes
D1120 Dental cleaning, child 3.2% 350 $12K
D0140 Limited oral evaluation - problem focused 2.8% 594 $10K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 2.6% 57 $10K
D2950 1.5% 42 $6K
D4346 <1% 14 $786.20

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.