Lee Family Dentistry, PA

Lee Family Dentistry, PA was paid $11K by Medicaid between Jun 2018 and Sep 2018, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 38% of everything it billed.

33Billing provider infoLEE FAMILY DENTISTRY, PA
SENATOBIA, MS 38668

33aNPI1619397387assigned 04/22/2014

33bProvider typeDentist

28Total paid$11K

24GClaims1,726

24DCodes billed6

24AFirst – last monthJun 2018 – Sep 2018

Compared with peers

Next to other Dentist providers in Mississippi

Rank by total paid#186 of 261

Median peer was paid$64K

This provider vs. median0.2×

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	1,726	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	38%	485	171	$4K
D1120	Dental cleaning, childProphylaxis - child	27%	482	168	$3K
D1206	Topical application of fluoride varnish	21%	454	164	$2K
D7140	Extraction, erupted tooth or exposed root	5.5%	175	16	$630.08
D0330	Panoramic radiographic image	5.0%	21	14	$569.69
D0140	Limited oral evaluation - problem focused	3.9%	109	27	$443.28

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, PRESTON (OWNER/PRESIDENT)