SOO YUN S LEE DMD LLA
NPI: 1679958458
· ODENTON, MD 21113
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/22/2015
$4.55M
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, SOO YUN (DOCTOR) |
| NPI Enumeration Date | 07/22/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,789 |
$798K |
| 2019 |
6,602 |
$770K |
| 2020 |
4,657 |
$529K |
| 2021 |
5,858 |
$667K |
| 2022 |
6,272 |
$617K |
| 2023 |
5,273 |
$580K |
| 2024 |
4,374 |
$587K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
34,949 |
24,224 |
$2.58M |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
1,293 |
1,265 |
$1.31M |
| D8660 |
|
2,971 |
2,921 |
$440K |
| D8090 |
|
213 |
213 |
$192K |
| D9310 |
|
346 |
344 |
$17K |
| D8692 |
|
26 |
24 |
$4K |
| D8703 |
|
12 |
12 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
15 |
15 |
$648.00 |