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

Lee, Jiyoung

Lee, Jiyoung was paid $372K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.

33Billing provider infoLEE, JIYOUNG
GRESHAM, OR 97030
33aNPI1477567154assigned 07/28/2006
33bProvider typePediatric Dentist
28Total paid$372K
24GClaims14,275
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatric Dentist providers in Oregon

Rank by total paid#52 of 109
Median peer was paid$362K
This provider vs. median1.0×

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$10K$20K2018201920202021202220232024
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
20182,595$85K
20194,354$129K
20201,939$42K
20211,671$36K
20221,325$26K
20231,299$26K
2024incomplete1,092$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 29% 2,843 2,834 $108K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 2,560 2,554 $67K
D2930 Prefabricated stainless steel crown - primary tooth 18% 648 225 $65K
D1206 Topical application of fluoride varnish 14% 2,969 2,961 $52K
D7140 Extraction, erupted tooth or exposed root 7.4% 354 188 $28K
D0272 Bitewings - two radiographic images 5.8% 1,257 1,253 $21K
D0150 Comprehensive oral evaluation - new or established patient 3.7% 391 391 $14K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.8% 277 272 $7K
D0220 Intraoral - periapical first radiographic image 1.5% 450 443 $5K
D0230 Intraoral - periapical each additional radiographic image <1% 252 219 $2K
D0603 <1% 2,047 2,040 $871.00
D0330 Panoramic radiographic image <1% 19 19 $624.00
4 more codes
D0140 Limited oral evaluation - problem focused <1% 12 $420.00
D1354 <1% 57 $336.00
D0602 <1% 75 $50.00
D0601 0% 64 $0.00

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.