Medicaid Provider Spending

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

RICK HENSLEY DMD III PA DBA LINCOLNTON FAMILY DENTISTRY

NPI: 1003089400 · LINCOLNTON, NC 28092 · General Practice Dentistry · NPI assigned 04/07/2008

$5K
Total Medicaid Paid
203
Total Claims
175
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialHENSLEY, RICK (DENTIST)
NPI Enumeration Date04/07/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 203 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 29 29 $909.32
D1110 Prophylaxis - adult 25 25 $905.25
D0330 Panoramic radiographic image 18 18 $841.80
D0120 Periodic oral evaluation - established patient 32 32 $714.81
D0230 Intraoral - periapical each additional radiographic image 41 13 $434.72
D0274 Bitewings - four radiographic images 15 15 $427.00
D0220 Intraoral - periapical first radiographic image 30 30 $408.22
D1208 Topical application of fluoride, excluding varnish 13 13 $204.36