Lee, Andy

Lee, Andy was paid $6K by Medicaid between Apr 2018 and May 2018, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.

33Billing provider infoLEE, ANDY
AIEA, HI 96701

33aNPI1912255803assigned 08/27/2012

33bProvider typeDentist

28Total paid$6K

24GClaims219

24DCodes billed6

24AFirst – last monthApr 2018 – May 2018

Compared with peers

Next to other Dentist providers in Hawaii

Rank by total paid#32 of 42

Median peer was paid$43K

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	219	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	63	57	$2K
D1120	Dental cleaning, childProphylaxis - child	25%	39	35	$1K
D1206	Topical application of fluoride varnish	20%	55	51	$1K
D0272	Bitewings - two radiographic images	13%	30	30	$695.95
D1110	Prophylaxis - adult	12%	14	14	$678.30
D0603		<1%	18	17	$0.18

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.