Medicaid Provider Spending

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

SHUR, LYUDMILA

NPI: 1043300197 · LYNNWOOD, WA 98087 · Dentist · NPI assigned 10/12/2006

$5K
Total Medicaid Paid
314
Total Claims
313
Beneficiaries
8
Codes Billed
2020-07
First Month
2020-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 314 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 50 50 $1K
D9920 31 30 $843.88
D1120 Prophylaxis - child 36 36 $827.28
D1208 Topical application of fluoride, excluding varnish 52 52 $798.90
D1110 Prophylaxis - adult 12 12 $435.00
D0272 Bitewings - two radiographic images 41 41 $421.89
D0220 Intraoral - periapical first radiographic image 48 48 $377.20
D0230 Intraoral - periapical each additional radiographic image 44 44 $103.29