DR. JEE S. LEE, D.D.S., INC
NPI: 1649514662
· IRVINE, CA 92604
· Preferred Provider Organization
· NPI assigned 11/15/2012
$394K
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, JEE (CEO) |
| NPI Enumeration Date | 11/15/2012 |
Related Entities
Other providers sharing the same authorized official: LEE, JEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,146 |
$70K |
| 2019 |
1,789 |
$61K |
| 2020 |
1,122 |
$38K |
| 2021 |
1,347 |
$47K |
| 2022 |
1,176 |
$58K |
| 2023 |
1,089 |
$61K |
| 2024 |
1,192 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,164 |
2,157 |
$121K |
| D1120 |
Prophylaxis - child |
2,085 |
2,079 |
$77K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,094 |
1,092 |
$65K |
| D1110 |
Prophylaxis - adult |
506 |
499 |
$42K |
| D0210 |
Intraoral - complete series of radiographic images |
687 |
685 |
$31K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,067 |
2,063 |
$21K |
| D0274 |
Bitewings - four radiographic images |
894 |
888 |
$19K |
| D2740 |
Crown - porcelain/ceramic |
17 |
14 |
$8K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
101 |
60 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
20 |
13 |
$1K |
| D1351 |
Sealant - per tooth |
45 |
12 |
$990.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
69 |
26 |
$344.25 |
| D9993 |
|
39 |
39 |
$325.00 |
| D1310 |
|
39 |
39 |
$230.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$168.00 |
| D0601 |
|
20 |
20 |
$30.00 |