Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LEE, SANG

NPI: 1740269463 · FRESH MEADOWS, NY 11365 · Dentist · NPI assigned 01/11/2006

$60K
Total Medicaid Paid
4,337
Total Claims
4,244
Beneficiaries
8
Codes Billed
2018-01
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,319 $19K
2019 1,547 $22K
2020 883 $11K
2021 588 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 565 565 $18K
D0120 Periodic oral evaluation - established patient 1,048 1,047 $17K
D0274 Bitewings - four radiographic images 461 461 $6K
D0230 Intraoral - periapical each additional radiographic image 808 726 $6K
D0220 Intraoral - periapical first radiographic image 958 948 $5K
D1120 Prophylaxis - child 167 167 $4K
D1208 Topical application of fluoride, excluding varnish 318 318 $3K
D0210 Intraoral - complete series of radiographic images 12 12 $435.00