Lee, Kwi

Lee, Kwi was paid $8K by Medicaid between Oct 2018 and Feb 2022, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 71% of everything it billed.

33Billing provider infoLEE, KWI
PULASKI, NY 13142

33aNPI1730494691assigned 08/16/2010

33bProvider typeDentist

28Total paid$8K

24GClaims328

24DCodes billed4

24AFirst – last monthOct 2018 – Feb 2022

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#1,199 of 1,649

Median peer was paid$49K

This provider vs. median0.2×

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
2018	41	$1K
2019	127	$3K
2020	90	$2K
2021	58	$2K
2022	12	$348.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	71%	202	202	$6K
D0140	Limited oral evaluation - problem focused	17%	98	96	$1K
D0330	Panoramic radiographic image	6.7%	14	14	$545.55
D0150	Comprehensive oral evaluation - new or established patient	5.1%	14	14	$417.55

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.