Clinic
Nomi Lee Dental Group INC
Nomi Lee Dental Group INC was paid $166K by Medicaid between Feb 2019 and Nov 2024, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 20% of everything it billed.
33Billing provider infoNOMI LEE DENTAL GROUP INC
COLTON, CA 92324
COLTON, CA 92324
33aNPI1932672656assigned 01/04/2019
33bProvider typeDental Clinic/Center
28Total paid$166K
24GClaims8,301
24DCodes billed13
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#601 of 1,135
Median peer was paid$200K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2019 | 1,372 | $58K | |
| 2020 | 1,178 | $26K | |
| 2021 | 1,419 | $26K | |
| 2022 | 774 | $6K | |
| 2023 | 2,079 | $31K | |
| 2024incomplete | 1,479 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 20% | 503 | 502 | $33K |
| D1110 | Prophylaxis - adult | 16% | 306 | 305 | $27K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,379 | 1,364 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 271 | 142 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 4,289 | 671 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.4% | 380 | 378 | $16K |
| D0210 | Intraoral - complete series of radiographic images | 9.1% | 326 | 325 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 111 | 111 | $7K |
| D0274 | Bitewings - four radiographic images | 2.5% | 198 | 196 | $4K |
| D0350 | 2.4% | 380 | 159 | $4K | |
| D9430 | 1.7% | 89 | 86 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 44 | 25 | $2K |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 25 | $297.00 |
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, NOMI (OWNER)
Parent organizationNOMI LEE DENTAL INC
| Provider | Location | Paid |
|---|---|---|
| Nomi Lee DDS INC | Beaumont, CA | $386K |
| Nomi So-Lee Dental INC | Redlands, CA | $130K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.