KANG AND LEE DENTISTRY, A PROFESSIONAL CORPORATION
NPI: 1679751697
· ROWLAND HEIGHTS, CA 91748
· Dentist
· NPI assigned 01/31/2008
$211K
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, JENNIFER (C.F.O.) |
| NPI Enumeration Date | 01/31/2008 |
Related Entities
Other providers sharing the same authorized official: LEE, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
438 |
$3K |
| 2019 |
137 |
$678.60 |
| 2021 |
822 |
$9K |
| 2022 |
1,766 |
$25K |
| 2023 |
4,072 |
$92K |
| 2024 |
3,512 |
$81K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9110 |
|
614 |
534 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
471 |
469 |
$34K |
| D9430 |
|
716 |
591 |
$23K |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,607 |
1,255 |
$19K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
251 |
251 |
$16K |
| D1110 |
Prophylaxis - adult |
159 |
159 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
992 |
827 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
816 |
813 |
$11K |
| D0272 |
Bitewings - two radiographic images |
951 |
948 |
$11K |
| D1120 |
Prophylaxis - child |
198 |
198 |
$10K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
158 |
76 |
$8K |
| D1999 |
|
245 |
212 |
$5K |
| D0350 |
|
496 |
226 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
44 |
29 |
$3K |
| D4910 |
|
13 |
13 |
$1K |
| D1320 |
|
16 |
16 |
$247.50 |