Medicaid Provider Spending

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

D. H. LEE DMD PA CREEDMOOR

NPI: 1558773168 · CREEDMOOR, NC 27522 · General Practice Dentistry · NPI assigned 06/02/2014

$7K
Total Medicaid Paid
359
Total Claims
267
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialLEE, DONGHOON (PRESIDENT)
NPI Enumeration Date06/02/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 359 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 116 90 $3K
D0120 Periodic oral evaluation - established patient 156 122 $3K
D1120 Prophylaxis - child 61 43 $1K
D0140 Limited oral evaluation - problem focused 26 12 $366.34