Lee, Peter

Lee, Peter was paid $6K by Medicaid between Oct 2019 and Mar 2021, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.

33Billing provider infoLEE, PETER
HONOLULU, HI 96822

33aNPI1477803864assigned 09/13/2012

33bProvider typeDentist

28Total paid$6K

24GClaims288

24DCodes billed6

24AFirst – last monthOct 2019 – Mar 2021

Compared with peers

Next to other Dentist providers in Hawaii

Rank by total paid#31 of 42

Median peer was paid$43K

This provider vs. median0.1×

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
2019	123	$3K
2020	103	$2K
2021	62	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	25%	51	51	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	49	49	$1K
D0240		19%	52	52	$1K
D1208	Topical application of fluoride, excluding varnish	12%	52	52	$736.32
D0220	Intraoral - periapical first radiographic image	11%	56	56	$698.88
D0272	Bitewings - two radiographic images	9.1%	28	28	$559.16

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.