Dental
Lee Family Dental PLC
Lee Family Dental PLC was paid $1.84M by Medicaid between Jan 2018 and Sep 2024, across 19 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 36% of everything it billed.
33Billing provider infoLEE FAMILY DENTAL PLC
PENNINGTON GAP, VA 24277
PENNINGTON GAP, VA 24277
33aNPI1730336173assigned 08/27/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$1.84M
24GClaims61,584
24DCodes billed19
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#17 of 549
Median peer was paid$29K
This provider vs. median63×
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 | 8,822 | $323K | |
| 2019 | 11,656 | $329K | |
| 2020 | 8,151 | $234K | |
| 2021 | 9,110 | $293K | |
| 2022 | 9,012 | $392K | |
| 2023 | 9,347 | $275K | |
| 2024incomplete | 5,486 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 36% | 15,328 | 3,083 | $665K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.4% | 2,277 | 1,430 | $173K |
| D0330 | Panoramic radiographic image | 8.8% | 4,226 | 3,518 | $162K |
| D1110 | Prophylaxis - adult | 8.6% | 4,255 | 4,193 | $158K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.1% | 3,242 | 3,219 | $94K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 5,068 | 5,027 | $90K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 5,169 | 5,116 | $84K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 1,179 | 812 | $71K |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 4,491 | 3,378 | $71K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 2,559 | 2,343 | $63K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.9% | 526 | 348 | $53K |
| D0274 | Bitewings - four radiographic images | 2.3% | 1,990 | 1,964 | $42K |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 4,355 | $31K |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 2,706 | $28K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 289 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 3,133 | $22K |
| D0272 | Bitewings - two radiographic images | <1% | 406 | $8K |
| D1206 | Topical application of fluoride varnish | <1% | 315 | $6K |
| D1351 | Sealant - per tooth | <1% | 70 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialSHELBURNE, STEPHEN (OWNER)