Lee, Jennie

Lee, Jennie was paid $37K by Medicaid between Jun 2018 and Oct 2020, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.

33Billing provider infoLEE, JENNIE
CRANFORD, NJ 07016

33aNPI1851788012assigned 04/24/2015

33bProvider typePediatric Dentist

28Total paid$37K

24GClaims1,479

24DCodes billed11

24AFirst – last monthJun 2018 – Oct 2020

Compared with peers

Next to other Pediatric Dentist providers in New Jersey

Rank by total paid#153 of 190

Median peer was paid$275K

This provider vs. median0.1×

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	488	$13K
2019	464	$12K
2020	527	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	40%	331	331	$15K
D1206	Topical application of fluoride varnish	30%	365	365	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	208	208	$5K
D1351	Sealant - per tooth	6.4%	120	25	$2K
D0220	Intraoral - periapical first radiographic image	2.5%	187	186	$935.00
D0150	Comprehensive oral evaluation - new or established patient	1.8%	27	27	$675.00
D0272	Bitewings - two radiographic images	1.7%	65	65	$650.00
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.6%	25	25	$615.00
D0230	Intraoral - periapical each additional radiographic image	1.1%	126	126	$423.00
D0603		<1%	13	13	$130.00
D0601		<1%	12	12	$120.00

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.