Dental
Ki Baek Lee, DDS. INC.
Ki Baek Lee, DDS. INC. was paid $78K by Medicaid between Mar 2018 and Sep 2024, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 41% of everything it billed.
33Billing provider infoKI BAEK LEE, DDS. INC.
BELL GARDENS, CA 90201
BELL GARDENS, CA 90201
33aNPI1508373002assigned 01/05/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$78K
24GClaims2,493
24DCodes billed13
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,650 of 2,668
Median peer was paid$173K
This provider vs. median0.4×
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 | 210 | $6K | |
| 2019 | 498 | $12K | |
| 2020 | 170 | $3K | |
| 2021 | 363 | $7K | |
| 2022 | 277 | $9K | |
| 2023 | 55 | $996.45 | |
| 2024incomplete | 920 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 41% | 537 | 535 | $32K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 12% | 137 | 59 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 208 | 208 | $7K |
| D4341 | 8.6% | 96 | 26 | $7K | |
| D0210 | Intraoral - complete series of radiographic images | 8.1% | 138 | 138 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 388 | 388 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 786 | 337 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.5% | 48 | 48 | $3K |
| D1110 | Prophylaxis - adult | 3.4% | 36 | 36 | $3K |
| D2954 | 2.8% | 21 | 13 | $2K | |
| D0274 | Bitewings - four radiographic images | 1.6% | 73 | 73 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | 12 | $144.00 |
1 more codes
| D0272 | Bitewings - two radiographic images | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialLEE, KI (DENTIST)