Lee D Jess DDS LTD

Lee D Jess DDS LTD was paid $496K by Medicaid between Jan 2018 and Aug 2023, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.

33Billing provider infoLEE D JESS DDS LTD
GRAND RAPIDS, MN 55744

33aNPI1740352608assigned 11/15/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$496K

24GClaims12,527

24DCodes billed16

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#76 of 368

Median peer was paid$19K

This provider vs. median26×

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	2,897	$22K
2019	2,577	$119K
2020	1,534	$72K
2021	1,681	$89K
2022	1,932	$101K
2023	1,906	$94K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	2,821	2,794	$94K
D1110	Prophylaxis - adult	18%	1,341	1,326	$87K
D1120	Dental cleaning, childProphylaxis - child	14%	1,520	1,511	$71K
D1206	Topical application of fluoride varnish	13%	2,785	2,761	$63K
D9110		12%	1,056	1,030	$58K
D0274	Bitewings - four radiographic images	9.5%	1,162	1,151	$47K
D0330	Panoramic radiographic image	9.5%	701	686	$47K
D0150	Comprehensive oral evaluation - new or established patient	1.9%	261	249	$10K
D0220	Intraoral - periapical first radiographic image	1.3%	500	474	$6K
D1351	Sealant - per tooth	<1%	127	39	$4K
D9986		<1%	154	147	$3K
D2331		<1%	21	12	$3K

4 more codes

D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	17	$2K
D2940		<1%	35	$2K
D0272	Bitewings - two radiographic images	<1%	13	$405.03
D0140	Limited oral evaluation - problem focused	<1%	13	$43.27

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 officialJESS, LEE (OWNER, PRESIDENT)