Dental
Mai, Lee
Mai, Lee was paid $68K by Medicaid between Nov 2022 and Dec 2024, across 17 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 19% of everything it billed.
33Billing provider infoMAI, LEE
DUNCAN, SC 29334
DUNCAN, SC 29334
33aNPI1710479795assigned 06/05/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$68K
24GClaims1,855
24DCodes billed17
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in South Carolina
Rank by total paid#173 of 331
Median peer was paid$75K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2022 | 418 | $16K | |
| 2024incomplete | 1,437 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 108 | 56 | $13K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 289 | 289 | $10K |
| D1206 | Topical application of fluoride varnish | 10% | 325 | 325 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.1% | 251 | 251 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.6% | 69 | 48 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.4% | 141 | 135 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 5.7% | 61 | 36 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 50 | 34 | $4K |
| D1351 | Sealant - per tooth | 4.3% | 86 | 27 | $3K |
| D9248 | 3.9% | 29 | 28 | $3K | |
| D0330 | Panoramic radiographic image | 2.5% | 42 | 42 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 54 | 54 | $2K |
5 more codes
| D0272 | Bitewings - two radiographic images | 1.9% | 70 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 126 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 98 | $1K |
| D1110 | Prophylaxis - adult | 1.3% | 18 | $907.20 |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 38 | $780.69 |
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.