Dental
Le, John
Le, John was paid $44K by Medicaid between May 2023 and Dec 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
33Billing provider infoLE, JOHN
MILWAUKIE, OR 97222
MILWAUKIE, OR 97222
33aNPI1609589241assigned 12/28/2022
33bProvider typeDentist
28Total paid$44K
24GClaims8,100
24DCodes billed22
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#90 of 233
Median peer was paid$19K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2023 | 3,348 | $19K | |
| 2024incomplete | 4,752 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 494 | 383 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 16% | 458 | 310 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 491 | 491 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 9.3% | 293 | 293 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.8% | 1,499 | 380 | $3K |
| D0140 | Limited oral evaluation - problem focused | 5.8% | 307 | 301 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 4.6% | 672 | 656 | $2K |
| D1206 | Topical application of fluoride varnish | 3.9% | 419 | 418 | $2K |
| D0274 | Bitewings - four radiographic images | 3.8% | 282 | 282 | $2K |
| D0603 | 3.8% | 612 | 611 | $2K | |
| D0330 | Panoramic radiographic image | 3.1% | 194 | 194 | $1K |
| D4341 | 2.3% | 63 | 50 | $990.00 |
10 more codes
| D1120 | Dental cleaning, child | 2.2% | 107 | $960.00 |
| D1110 | Prophylaxis - adult | 1.8% | 98 | $799.00 |
| D0120 | Dental checkup, returning patient | 1.3% | 177 | $588.00 |
| D0270 | <1% | 157 | $374.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 20 | $336.00 |
| D1310 | <1% | 819 | $60.00 | |
| D1320 | <1% | 25 | $60.00 | |
| D1330 | <1% | 828 | $40.00 | |
| D1354 | <1% | 72 | $20.00 | |
| D0602 | <1% | 13 | $11.00 |
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.