Medicaid Provider Spending

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

CAPE COD SMILES PC

NPI: 1902449945 · HYANNIS, MA 02601 · Dental Clinic/Center · NPI assigned 10/22/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LEE, SANG controls 13+ related entities in our dataset. Read more

$235K
Total Medicaid Paid
6,368
Total Claims
5,747
Beneficiaries
14
Codes Billed
2020-10
First Month
2024-01
Last Month

Provider Details

Authorized OfficialLEE, SANG (OWNER)
NPI Enumeration Date10/22/2019

Related Entities

Other providers sharing the same authorized official: LEE, SANG

ProviderCityStateTotal Paid
PRIME DENTAL INC EAST WAREHAM MA $5.65M
SANG H. LEE, D.O., P.C. BETHANY OK $2.23M
SANG EUN LEE D.D.S. INC. REDLANDS CA $1.12M
ACE DENTISTRY PC WESTBURY NY $845K
BENTLEYVILLE SEDATION DENTISTRY PC BENTLEYVILLE PA $744K
SANG EUN LEE DENTAL CORP TWENTYNINE PALMS CA $685K
CROSSPOINT DENTAL CARE PC ANNANDALE VA $513K
WOBURN SMILES PC WOBURN MA $266K
CARDIOTHORACIC SURGERY CONSULTANTS,INC SAN JOSE CA $27K
LEE MEDICAL CORPORATION SANTA BARBARA CA $17K
UNITED DENTAL INC LOWELL MA $8K
WOORI PHARMACY, INC. LOS ANGELES CA $3K
SANG J LEE LOS ANGELES CA $743.12

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 338 $14K
2021 1,422 $54K
2022 2,276 $89K
2023 2,177 $74K
2024 155 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 617 612 $33K
D0274 Bitewings - four radiographic images 932 919 $32K
D0150 Comprehensive oral evaluation - new or established patient 680 671 $30K
D0330 Panoramic radiographic image 626 612 $30K
D9450 1,537 1,219 $24K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 168 68 $23K
D2740 Crown - porcelain/ceramic 31 25 $23K
D0140 Limited oral evaluation - problem focused 400 388 $15K
D0220 Intraoral - periapical first radiographic image 804 705 $11K
D0120 Periodic oral evaluation - established patient 304 301 $7K
D1120 Prophylaxis - child 54 54 $3K
D1208 Topical application of fluoride, excluding varnish 86 84 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 22 15 $1K
D0230 Intraoral - periapical each additional radiographic image 107 74 $1K