Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRESTON HUGH LEE III, DDS, PA

NPI: 1548667173 · OXFORD, MS 38655 · General Practice Dentistry · NPI assigned 11/25/2014

$66K
Total Medicaid Paid
2,465
Total Claims
2,169
Beneficiaries
7
Codes Billed
2018-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEE, ELISE (OFFICE MANAGER)
NPI Enumeration Date11/25/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 136 $1K
2020 12 $343.20
2021 604 $16K
2022 772 $21K
2023 479 $14K
2024 462 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 827 750 $23K
D1206 Topical application of fluoride varnish 806 732 $19K
D0140 Limited oral evaluation - problem focused 352 250 $11K
D0120 Periodic oral evaluation - established patient 323 302 $9K
D0150 Comprehensive oral evaluation - new or established patient 116 97 $3K
D0330 Panoramic radiographic image 29 26 $1K
D0220 Intraoral - periapical first radiographic image 12 12 $178.36