Medicaid Provider Spending

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

STEVE SHIH-IN LEE A PROF DENTAL CORP

NPI: 1750581138 · SAN GABRIEL, CA 91776 · General Practice Dentistry · NPI assigned 07/23/2007

$4K
Total Medicaid Paid
648
Total Claims
286
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialLEE, STEVE (PRESIDENT)
NPI Enumeration Date07/23/2007

Related Entities

Other providers sharing the same authorized official: LEE, STEVE

ProviderCityStateTotal Paid
COUNTY OF LOS ANGELES SYLMAR CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 368 $2K
2019 206 $2K
2021 74 $403.05

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 169 164 $2K
D0230 Intraoral - periapical each additional radiographic image 466 109 $2K
D0120 Periodic oral evaluation - established patient 13 13 $585.00