Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › GLADSTONE › HOLMES, LES

HOLMES, LES

NPI: 1033226907 · GLADSTONE, MO 64118 · General Practice Dentistry · NPI assigned 08/24/2006

$561.42
Total Medicaid Paid
62
Total Claims
53
Beneficiaries
2
Codes Billed
2018-08
First Month
2019-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17 $117.78
2019 45 $443.64

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 50 41 $347.02
D0274 Bitewings - four radiographic images 12 12 $214.40