Dental
Jae Bum Lee DDS INC
Jae Bum Lee DDS INC was paid $866K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 22% of everything it billed.
33Billing provider infoJAE BUM LEE DDS INC
BURBANK, CA 91502
BURBANK, CA 91502
33aNPI1497277321assigned 07/12/2017
33bProvider typeDentist
28Total paid$866K
24GClaims22,645
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#561 of 2,314
Median peer was paid$185K
This provider vs. median4.7×
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 | |
|---|---|---|---|
| 2018 | 2,991 | $72K | |
| 2019 | 2,540 | $87K | |
| 2020 | 2,950 | $96K | |
| 2021 | 3,178 | $109K | |
| 2022 | 3,496 | $115K | |
| 2023 | 3,896 | $205K | |
| 2024incomplete | 3,594 | $182K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22% | 2,178 | 2,175 | $188K |
| D2740 | Crown - porcelain/ceramic | 18% | 320 | 224 | $152K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13% | 1,870 | 1,868 | $115K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,663 | 1,655 | $105K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 11% | 811 | 456 | $95K |
| D1208 | Topical application of fluoride, excluding varnish | 4.4% | 2,766 | 2,763 | $38K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 562 | 348 | $38K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 9,010 | 1,714 | $37K |
| D0274 | Bitewings - four radiographic images | 3.8% | 1,570 | 1,567 | $33K |
| D0330 | Panoramic radiographic image | 3.3% | 990 | 990 | $28K |
| D9430 | 2.2% | 624 | 595 | $19K | |
| D2954 | 1.1% | 91 | 76 | $9K |
4 more codes
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.
From NPPES
Who's on the registration
Authorized officialLEE, JAE (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Jae Yong Lee DO LLC | Centennial, CO | $887K |
| Altius Diagnostics Laboratory LLC | Bellevue, WA | $298K |
| Wellness Acupuncture Clinic | Barstow, CA | $1K |
| Jae Hoon Lee MD INC | Los Angeles, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.