Lee, Jemin

Lee, Jemin was paid $464K by Medicaid between Jan 2018 and Apr 2022, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.

33Billing provider infoLEE, JEMIN
FLOWERY BRANCH, GA 30542

33aNPI1861474298assigned 11/21/2005

33bProvider typeDentist

28Total paid$464K

24GClaims9,927

24DCodes billed16

24AFirst – last monthJan 2018 – Apr 2022

Compared with peers

Next to other Dentist providers in Georgia

Rank by total paid#12 of 55

Median peer was paid$64K

This provider vs. median7.2×

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	3,208	$144K
2019	2,360	$104K
2020	1,720	$79K
2021	2,142	$102K
2022	497	$34K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	27%	1,977	1,977	$126K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	2,138	2,137	$70K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	14%	674	495	$66K
D1206	Topical application of fluoride varnish	9.0%	1,124	1,124	$42K
D0274	Bitewings - four radiographic images	8.9%	1,128	1,127	$41K
D1120	Dental cleaning, childProphylaxis - child	8.7%	782	782	$41K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	5.7%	217	178	$27K
D0330	Panoramic radiographic image	3.5%	363	362	$16K
D1208	Topical application of fluoride, excluding varnish	2.9%	812	812	$14K
D0150	Comprehensive oral evaluation - new or established patient	1.5%	247	247	$7K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.3%	90	64	$6K
D0220	Intraoral - periapical first radiographic image	<1%	160	160	$2K

4 more codes

D2394		<1%	16	$2K
D0272	Bitewings - two radiographic images	<1%	98	$2K
D0140	Limited oral evaluation - problem focused	<1%	86	$1K
D0230	Intraoral - periapical each additional radiographic image	<1%	15	$172.00

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.