Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Guam for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Guam only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Guam (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Kunsun Lee (NPI 1316324999)

Field	Value
Entity Type	Individual
Organization	Kunsun Lee
Address	222 E Chalan Santo Papa Ste 304
City	Hagatna
State	GU
ZIP	96910
Taxonomy	Dentist
NPI Enumerated	May 2, 2015

Payer Source	Total Paid
Medicaid	$168.2K
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file and all recorded federal billing is to Medicaid, with total Medicaid revenue of $168.2K. The lack of Medicare activity suggests payer mix and contracting work will center on Medicaid programs and state dental plans.

Revenue is highly concentrated in a small set of preventive and evaluation codes: the top 3 Medicaid codes account for 74.8% of this provider’s Medicaid revenue, led by D1120 ($70.6K, 42.0%), D0120 ($43.7K, 26.0%), and D1203 ($11.6K, 6.9%). This concentration indicates the practice relies on a few high-volume, lower-dollar codes for the majority of its billed Medicaid revenue.

The code mix and descriptions point to a general dental practice with a strong emphasis on pediatric preventive care and routine evaluations: D1120 is Prophylaxis–child and D0120 is Periodic oral evaluation - established patient, while supporting codes such as D0150 (Comprehensive oral evaluation) and D0230/D0220 (intraoral periapical images) reflect diagnostic and recall workflows. The presence of D1351 (Sealant - per tooth) and multiple radiographic codes further supports a preventive/diagnostic orientation rather than a specialty surgical focus.

Volume metrics reinforce the preventive-care profile: D1120 has 1.3K claims at $56 avg paid/claim, D0120 has 1.1K claims at $41 avg paid/claim, and D1203 has 580 claims at $20 avg paid/claim. These claim counts show steady throughput for routine visits and cleanings, with the highest claim volumes concentrated in child prophylaxis and established-patient periodic evaluations.

State-level competitive standing is modest across the top Medicaid codes: D1120 ranks #8 of 11 providers in-state (30th percentile; typical, unremarkable volume) and D0120 ranks #6 of 11 (50th percentile; typical, unremarkable volume). Those ranks indicate the provider is a regular, but not dominant, participant in the local Medicaid dental market for these services.

There are occasional higher-paid, low-volume procedures on the profile that suggest some treatment beyond routine prophylaxis: for example, D4220 shows 13 claims at $565 avg paid/claim totaling $7.3K (4.4% of revenue) and D2940 shows 15 claims at $236 avg paid/claim totaling $3.5K (2.1% of revenue). These entries imply infrequent higher-complexity interventions are performed but they represent a small share of total Medicaid revenue.

The provider’s NPI was enumerated on 2015-05-02 (~11 years ago), indicating an established enrollment period with the NPI registry. Given that tenure combined with the modest statewide ranks and concentrated preventive code mix, the profile is consistent with a steady small-to-midsize dental practice primarily serving Medicaid patients in the area.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	1,260	$60	$70.6K
D0120	Periodic oral evaluation - established patient	1,070	$40	$43.7K
D1203	N/A	580	$20	$11.6K
D0150	Comprehensive oral evaluation – new or established patient	120	$70	$8.2K
D0230	Intraoral - periapical each additional radiographic image	280	$30	$7.7K
D1351	Sealant - per tooth	170	$50	$7.7K
D4220	N/A	10	$570	$7.3K
D0220	Intraoral - periapical first radiographic image	350	$10	$4.9K
D2940	N/A	20	$240	$3.5K
D9230	N/A	40	$30	$1.3K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Guam providers billing the same CPT/HCPCS codes.

Claims Volume vs. Guam Distribution

Kunsun Lee — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. Guam median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D4220	N/A	8	10	940	$200	$845.2K
D2940	N/A	5	10	1,230	$220	$377.8K
D1120	Prophylaxis–child	8	10	2,140	$60	$195.3K
D0150	Comprehensive oral evaluation – new or established patient	8	10	1,460	$70	$192.7K
D1351	Sealant - per tooth	7	10	280	$30	$115.1K
D0230	Intraoral - periapical each additional radiographic image	9	10	1,370	$20	$85.3K
D0120	Periodic oral evaluation - established patient	6	10	1,070	$40	$80K
D0140	Limited oral evaluation – problem focused	9	10	340	$70	$70.1K
D9230	N/A	7	10	590	$30	$61.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8	10	150	$50	$42.9K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Kunsun Lee, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rsa - Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.4M
Pacific Med & Nephrology	GU	Multi-Specialty Clinic/Center	$0	$2.3M
Guam Fire Department	GU	Land Ambulance	$277.5K	$1.3M
Advanced Eyecare, LLC	GU	Ophthalmology Physician	$0	$813.8K
Peter Lombard	GU	Ophthalmology Physician	$575.7K	$0
Robert Nerves	GU	Nephrology Physician	$238.7K	$0
Ideal Vision Center LLC	GU	Clinic/Center	$0	$81.5K
Saied Safabakhsh	GU	Nephrology Physician	$68K	$0
Evangeline Claassens	GU	Family Nurse Practitioner	$39.4K	$0
Carla Haddock	GU	Family Nurse Practitioner	$34K	$0

Kunsun Lee — Billing Profile & Reimbursement Data

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Kunsun Lee — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References