Lee, Ann

Lee, Ann was paid $5K by Medicaid between Oct 2019 and Sep 2022, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 63% of everything it billed.

33Billing provider infoLEE, ANN
ELMIRA, NY 14902

33aNPI1689877540assigned 06/07/2007

33bProvider typeDentist

28Total paid$5K

24GClaims92

24DCodes billed3

24AFirst – last monthOct 2019 – Sep 2022

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#1,295 of 1,649

Median peer was paid$49K

This provider vs. median0.1×

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
2019	14	$461.10
2022	78	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	63%	45	45	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	34	34	$1K
D0330	Panoramic radiographic image	13%	13	13	$598.00

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.