Dental
Tommy C Le DDS, a Professional Dental Corporation
Tommy C Le DDS, a Professional Dental Corporation was paid $1.48M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoTOMMY C LE DDS, A PROFESSIONAL DENTAL CORPORATION
SANTA ANA, CA 92705
SANTA ANA, CA 92705
33aNPI1992129696assigned 02/17/2014
33bProvider typeDentist
28Total paid$1.48M
24GClaims64,832
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#362 of 2,314
Median peer was paid$185K
This provider vs. median8.0×
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 | 9,773 | $159K | |
| 2019 | 8,209 | $163K | |
| 2020 | 6,570 | $132K | |
| 2021 | 8,780 | $188K | |
| 2022 | 8,900 | $238K | |
| 2023 | 11,654 | $304K | |
| 2024incomplete | 10,946 | $299K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 4,545 | 4,520 | $251K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 3,500 | 1,484 | $188K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 4,724 | 4,688 | $177K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.5% | 2,109 | 1,162 | $140K |
| D1110 | Prophylaxis - adult | 7.6% | 1,295 | 1,289 | $112K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.4% | 26,366 | 5,079 | $110K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.0% | 1,646 | 1,637 | $103K |
| D0274 | Bitewings - four radiographic images | 4.5% | 3,222 | 3,207 | $67K |
| D0210 | Intraoral - complete series of radiographic images | 4.0% | 1,278 | 1,267 | $59K |
| D1208 | Topical application of fluoride, excluding varnish | 3.6% | 4,756 | 4,722 | $54K |
| D0350 | 3.6% | 5,399 | 1,956 | $54K | |
| D4910 | 2.6% | 518 | 518 | $39K |
12 more codes
| D9430 | 1.9% | 879 | $28K | |
| D1206 | Topical application of fluoride varnish | 1.4% | 1,229 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 1,268 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 247 | $14K |
| D1351 | Sealant - per tooth | <1% | 458 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 258 | $10K |
| D4341 | <1% | 115 | $8K | |
| D0272 | Bitewings - two radiographic images | <1% | 601 | $7K |
| D0330 | Panoramic radiographic image | <1% | 215 | $6K |
| D9110 | <1% | 88 | $6K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 18 | $1K |
| D1999 | 0% | 98 | $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 officialLE, TOMMY (DENTIST)