Dental
Lee, Ka Hi
Lee, Ka Hi was paid $345K by Medicaid between Mar 2021 and Jan 2022, across 20 billing codes. Its largest line is D1351, Sealant - per tooth — 15% of everything it billed.
33Billing provider infoLEE, KA HI
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
33aNPI1710576715assigned 01/13/2021
33bProvider typeDentist
28Total paid$345K
24GClaims12,331
24DCodes billed20
24AFirst – last monthMar 2021 – Jan 2022
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#381 of 1,099
Median peer was paid$160K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2021 | 11,327 | $316K | |
| 2022 | 1,004 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 15% | 648 | 364 | $50K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,154 | 1,080 | $44K |
| D4342 | 11% | 257 | 147 | $37K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 1,311 | 1,174 | $35K |
| D1206 | Topical application of fluoride varnish | 8.0% | 1,133 | 1,061 | $28K |
| D4341 | 7.5% | 167 | 62 | $26K | |
| D1110 | Prophylaxis - adult | 5.5% | 469 | 458 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 878 | 809 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 285 | 184 | $17K |
| D0274 | Bitewings - four radiographic images | 4.8% | 1,168 | 1,092 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.4% | 219 | 184 | $12K |
| D0330 | Panoramic radiographic image | 2.3% | 521 | 503 | $8K |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 1,650 | $8K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 431 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 138 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 1,465 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 182 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 40 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 201 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $764.55 |
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.