Medicaid Provider Spending

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

DEBRA E LEWIS DDS, PC

NPI: 1013072842 · INTERLOCHEN, MI 49643 · Dentist · NPI assigned 12/22/2006

$13K
Total Medicaid Paid
880
Total Claims
851
Beneficiaries
5
Codes Billed
2018-03
First Month
2022-08
Last Month

Provider Details

Authorized OfficialLEWIS, DEBRA (OWNER)
NPI Enumeration Date12/22/2006

Related Entities

Other providers sharing the same authorized official: LEWIS, DEBRA

ProviderCityStateTotal Paid
FAMILY EXTENDED CARE OF PUNTA GORDA, INC PORT CHARLOTTE FL $3.45M
FAMILY EXTENDED CARE OF SARASOTA, INC SARASOTA FL $2.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 93 $2K
2019 223 $6K
2020 193 $3K
2021 300 $2K
2022 71 $319.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 145 145 $5K
D0120 Periodic oral evaluation - established patient 192 192 $4K
D1206 Topical application of fluoride varnish 199 199 $4K
D1110 Prophylaxis - adult 12 12 $432.00
D1999 332 303 $0.00