Dental
Lee, James
Lee, James was paid $2K by Medicaid between Mar 2021 and Sep 2021, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 44% of everything it billed.
33Billing provider infoLEE, JAMES
WALNUT, CA 91789
WALNUT, CA 91789
33aNPI1821202375assigned 05/10/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims121
24DCodes billed5
24AFirst – last monthMar 2021 – Sep 2021
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#2,444 of 2,668
Median peer was paid$173K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 121 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 44% | 20 | 20 | $855.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 13 | 13 | $360.00 |
| D0274 | Bitewings - four radiographic images | 17% | 16 | 16 | $324.00 |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 30 | 30 | $260.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 8.3% | 42 | 20 | $162.02 |
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.