Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALBERT S. LEE, D.D.S., INC

NPI: 1982166161 · SACRAMENTO, CA 95822 · Dentist · NPI assigned 04/05/2019

$12K
Total Medicaid Paid
369
Total Claims
298
Beneficiaries
8
Codes Billed
2021-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEE, ALBERT (GENERAL DENTIST)
NPI Enumeration Date04/05/2019

Related Entities

Other providers sharing the same authorized official: LEE, ALBERT

ProviderCityStateTotal Paid
ALBERT C. LEE, M.D., P.C. LAFAYETTE IN $4.05M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 91 $3K
2022 128 $3K
2024 150 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9430 81 54 $3K
D0150 Comprehensive oral evaluation - new or established patient 37 37 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 27 12 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 34 12 $1K
D0210 Intraoral - complete series of radiographic images 26 26 $1K
D1110 Prophylaxis - adult 12 12 $1K
D0350 115 108 $950.40
D1208 Topical application of fluoride, excluding varnish 37 37 $486.00