Dental
Tee, Kristina
Tee, Kristina was paid $362K by Medicaid between Dec 2018 and Jul 2021, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoTEE, KRISTINA
GRESHAM, OR 97030
GRESHAM, OR 97030
33aNPI1780924951assigned 02/25/2013
33bProvider typePediatric Dentist
28Total paid$362K
24GClaims13,412
24DCodes billed23
24AFirst – last monthDec 2018 – Jul 2021
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#55 of 109
Median peer was paid$362K
This provider vs. median1.0×
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 | 86 | $2K | |
| 2019 | 1,632 | $42K | |
| 2020 | 6,383 | $163K | |
| 2021 | 5,311 | $155K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 2,226 | 2,224 | $85K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 670 | 261 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,647 | 1,646 | $44K |
| D1351 | Sealant - per tooth | 8.2% | 894 | 251 | $30K |
| D1208 | Topical application of fluoride, excluding varnish | 6.2% | 1,256 | 1,253 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.2% | 516 | 516 | $19K |
| D0272 | Bitewings - two radiographic images | 5.0% | 993 | 991 | $18K |
| D1206 | Topical application of fluoride varnish | 4.8% | 949 | 949 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | 4.2% | 204 | 89 | $15K |
| D0240 | 3.7% | 887 | 455 | $13K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.6% | 145 | 46 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.4% | 345 | 320 | $9K |
11 more codes
| D0140 | Limited oral evaluation - problem focused | 2.2% | 244 | $8K |
| D0603 | 1.4% | 523 | $5K | |
| D1354 | 1.1% | 1,007 | $4K | |
| D1999 | <1% | 496 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 58 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 48 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 156 | $2K |
| D0601 | <1% | 89 | $851.00 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 26 | $678.00 |
| D0330 | Panoramic radiographic image | <1% | 16 | $344.00 |
| D1330 | 0% | 17 | $0.00 |
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.