Clinic
K.Lee, DDS, PLLC.
K.Lee, DDS, PLLC. was paid $3.23M by Medicaid between Mar 2021 and Dec 2024, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 25% of everything it billed.
33Billing provider infoK.LEE, DDS, PLLC.
SPANAWAY, WA 98387
SPANAWAY, WA 98387
33aNPI1932700671assigned 11/06/2020
33bProvider typeDental Clinic/Center
28Total paid$3.23M
24GClaims128,732
24DCodes billed23
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Washington
Rank by total paid#30 of 143
Median peer was paid$573K
This provider vs. median5.6×
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 | |
|---|---|---|---|
| 2021 | 16,403 | $377K | |
| 2022 | 35,494 | $772K | |
| 2023 | 37,708 | $1.04M | |
| 2024incomplete | 39,127 | $1.03M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 25% | 5,431 | 1,703 | $804K |
| D2929 | 9.8% | 1,352 | 343 | $318K | |
| D1208 | Topical application of fluoride, excluding varnish | 9.0% | 13,383 | 12,953 | $292K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 8.6% | 2,880 | 1,107 | $279K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.2% | 8,850 | 8,682 | $264K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.3% | 11,061 | 10,717 | $236K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 5,141 | 4,869 | $191K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 1,889 | 1,011 | $120K |
| D1351 | Sealant - per tooth | 3.5% | 5,437 | 1,446 | $112K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 45,599 | 11,302 | $97K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 12,633 | 12,156 | $96K |
| D7140 | Extraction, erupted tooth or exposed root | 3.0% | 1,872 | 982 | $96K |
11 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 1,329 | $73K |
| D0330 | Panoramic radiographic image | 2.0% | 2,628 | $66K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 3,052 | $63K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 1,942 | $43K |
| D9248 | <1% | 575 | $31K | |
| D0272 | Bitewings - two radiographic images | <1% | 2,765 | $24K |
| D1110 | Prophylaxis - adult | <1% | 314 | $13K |
| D2920 | <1% | 218 | $5K | |
| D9630 | <1% | 55 | $2K | |
| D2331 | <1% | 18 | $840.42 | |
| D1330 | 0% | 308 | $0.00 |
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, KWANSOO (DENTIST)