Dental
Minnesota Lee Dental Clinic, P.C.
Minnesota Lee Dental Clinic, P.C. was paid $1.43M by Medicaid between Jan 2018 and May 2021, across 34 billing codes. Its largest line is D8080, Comprehensive orthodontic treatment of the adolescent dentition — 30% of everything it billed.
33Billing provider infoMINNESOTA LEE DENTAL CLINIC, P.C.
MAPLE GROVE, MN 55369
MAPLE GROVE, MN 55369
33aNPI1932361474assigned 06/26/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$1.43M
24GClaims26,927
24DCodes billed34
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#50 of 368
Median peer was paid$19K
This provider vs. median75×
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 | 6,869 | $581K | |
| 2019 | 19,813 | $803K | |
| 2020 | 170 | $40K | |
| 2021 | 75 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 30% | 105 | 101 | $428K |
| D1351 | Sealant - per tooth | 12% | 6,563 | 777 | $175K |
| D8670 | Periodic orthodontic treatment visit | 7.5% | 438 | 416 | $107K |
| D1110 | Prophylaxis - adult | 6.0% | 2,341 | 2,167 | $86K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.0% | 3,500 | 3,217 | $85K |
| D1206 | Topical application of fluoride varnish | 4.3% | 3,150 | 2,885 | $61K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 1,145 | 613 | $58K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 854 | 508 | $55K |
| D0330 | Panoramic radiographic image | 3.8% | 925 | 861 | $54K |
| D0274 | Bitewings - four radiographic images | 3.3% | 1,590 | 1,479 | $47K |
| D0350 | 2.9% | 830 | 809 | $41K | |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 1,462 | 1,361 | $38K |
22 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 501 | $35K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.4% | 246 | $20K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 614 | $16K |
| D2331 | 1.1% | 197 | $15K | |
| D0340 | <1% | 219 | $12K | |
| D2335 | <1% | 129 | $12K | |
| D7250 | <1% | 94 | $11K | |
| D0272 | Bitewings - two radiographic images | <1% | 423 | $11K |
| D2330 | <1% | 190 | $10K | |
| D2722 | <1% | 19 | $8K | |
| D2332 | <1% | 75 | $7K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 523 | $6K |
| D7111 | <1% | 74 | $5K | |
| D3320 | <1% | 18 | $4K | |
| D3310 | <1% | 21 | $4K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 15 | $4K |
| D8660 | <1% | 503 | $4K | |
| D2394 | <1% | 28 | $3K | |
| D8693 | <1% | 13 | $2K | |
| D4355 | <1% | 40 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 70 | $382.33 |
| D1330 | <1% | 12 | $167.16 |
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.
From NPPES
Who's on the registration
Authorized officialLEE, HO YOUNG (OWNER)