Dental
Lee, Tae Yong
Lee, Tae Yong was paid $122K by Medicaid between Feb 2018 and Sep 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoLEE, TAE YONG
ANNANDALE, VA 22003
ANNANDALE, VA 22003
33aNPI1528244670assigned 01/18/2008
33bProvider typeDentist
28Total paid$122K
24GClaims5,927
24DCodes billed12
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#130 of 417
Median peer was paid$34K
This provider vs. median3.6×
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 | 382 | $6K | |
| 2019 | 876 | $14K | |
| 2020 | 309 | $5K | |
| 2021 | 1,036 | $28K | |
| 2022 | 1,507 | $45K | |
| 2023 | 1,345 | $24K | |
| 2024incomplete | 472 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 1,125 | 1,112 | $41K |
| D0274 | Bitewings - four radiographic images | 15% | 873 | 867 | $18K |
| D0140 | Limited oral evaluation - problem focused | 11% | 686 | 526 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 9.0% | 1,401 | 1,023 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 733 | 723 | $11K |
| D0330 | Panoramic radiographic image | 6.1% | 196 | 137 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 272 | 225 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 5.6% | 253 | 192 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 39 | 12 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 296 | 149 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 40 | 40 | $498.96 |
| D1999 | 0% | 13 | 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.