Dental
Lee, Alice
Lee, Alice was paid $78K by Medicaid between Jan 2018 and May 2021, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.
33Billing provider infoLEE, ALICE
BRONX, NY 10467
BRONX, NY 10467
33aNPI1710069190assigned 10/19/2006
33bProvider typePediatric Dentist
28Total paid$78K
24GClaims6,394
24DCodes billed17
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#330 of 514
Median peer was paid$196K
This provider vs. median0.4×
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 | 2,276 | $27K | |
| 2019 | 2,348 | $28K | |
| 2020 | 901 | $11K | |
| 2021 | 869 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 36% | 1,178 | 1,178 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,059 | 1,059 | $16K |
| D1206 | Topical application of fluoride varnish | 12% | 466 | 463 | $9K |
| D1354 | 8.5% | 325 | 81 | $7K | |
| D0272 | Bitewings - two radiographic images | 7.5% | 798 | 798 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 7.0% | 846 | 846 | $5K |
| D1351 | Sealant - per tooth | 3.1% | 176 | 55 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 17 | 13 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 34 | 26 | $949.16 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 57 | 57 | $923.00 |
| D0330 | Panoramic radiographic image | 1.1% | 53 | 53 | $818.77 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 109 | 108 | $572.96 |
5 more codes
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.