Dental
Lee, Judyth
Lee, Judyth was paid $121K by Medicaid between Jan 2018 and Aug 2018, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoLEE, JUDYTH
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
33aNPI1699189431assigned 06/19/2014
33bProvider typePediatric Dentist
28Total paid$121K
24GClaims7,571
24DCodes billed23
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Pediatric Dentist providers in California
Rank by total paid#228 of 332
Median peer was paid$450K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2018 | 7,571 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 1,013 | 1,013 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,053 | 1,053 | $21K |
| D1351 | Sealant - per tooth | 12% | 715 | 197 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 288 | 176 | $12K |
| D1206 | Topical application of fluoride varnish | 5.9% | 738 | 738 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 189 | 114 | $6K |
| D1110 | Prophylaxis - adult | 5.0% | 155 | 155 | $6K |
| D0272 | Bitewings - two radiographic images | 4.4% | 547 | 546 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 4.3% | 397 | 397 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 134 | 84 | $4K |
| D0274 | Bitewings - four radiographic images | 2.5% | 199 | 199 | $3K |
| D1353 | 2.3% | 153 | 52 | $3K |
11 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.9% | 35 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 201 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 325 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 114 | $1K |
| D1354 | <1% | 48 | $711.90 | |
| D0603 | <1% | 419 | $680.00 | |
| D0601 | <1% | 207 | $460.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 145 | $368.70 |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $165.20 |
| D9920 | <1% | 12 | $120.00 | |
| D1330 | 0% | 472 | $0.00 |
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.