Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KEUN CHAN LEE DDS INC

NPI: 1689120149 · HAWAIIAN GARDENS, CA 90716 · Dentist · NPI assigned 08/25/2016

$2K
Total Medicaid Paid
29
Total Claims
29
Beneficiaries
2
Codes Billed
2018-08
First Month
2018-08
Last Month

Provider Details

Authorized OfficialDUVAL, LUCERO (OFFICE MANAGER)
Parent OrganizationKEUN CHAN LEE DDS INC
NPI Enumeration Date08/25/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 15 15 $990.00
D0210 Intraoral - complete series of radiographic images 14 14 $672.00