Lee, Eun Jin

Lee, Eun Jin was paid $7K by Medicaid between May 2018 and Aug 2018, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 45% of everything it billed.

33Billing provider infoLEE, EUN JIN
MARION, IL 62959

33aNPI1932461639assigned 06/09/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$7K

24GClaims128

24DCodes billed4

24AFirst – last monthMay 2018 – Aug 2018

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#856 of 1,017

Median peer was paid$123K

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	128	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	45%	61	54	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	34%	38	36	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	18%	13	12	$1K
D1208	Topical application of fluoride, excluding varnish	2.8%	16	15	$210.54

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.