UNITED DENTAL INC

NPI: 1912439357 · LOWELL, MA 01852 · Dental Clinic/Center · NPI assigned 04/03/2017

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$8K

Total Medicaid Paid

257

Total Claims

252

Beneficiaries

Codes Billed

2018-03

First Month

2018-11

Last Month

Provider Details

Authorized Official	LEE, SANG (OWNER)
NPI Enumeration Date	04/03/2017

Other providers sharing the same authorized official: LEE, SANG

Provider	City	State	Total 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
CAPE COD SMILES PC	HYANNIS	MA	$235K
CARDIOTHORACIC SURGERY CONSULTANTS,INC	SAN JOSE	CA	$27K
LEE MEDICAL CORPORATION	SANTA BARBARA	CA	$17K
WOORI PHARMACY, INC.	LOS ANGELES	CA	$3K
SANG J LEE	LOS ANGELES	CA	$743.12

Year	Claims	Total Paid
2018	257	$8K

Code	Description	Claims	Beneficiaries	Total Paid
D0150	Comprehensive oral evaluation - new or established patient	102	99	$4K
D0140	Limited oral evaluation - problem focused	37	37	$1K
D0274	Bitewings - four radiographic images	38	38	$1K
D0220	Intraoral - periapical first radiographic image	53	51	$776.00
D0330	Panoramic radiographic image	15	15	$675.00
D1110	Prophylaxis - adult	12	12	$588.00