Medicaid Provider Spending

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

NUMA RAY LEE DDS PLLC

NPI: 1083993935 · NEWPORT NEWS, VA 23606 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 08/10/2011

$4K
Total Medicaid Paid
57
Total Claims
39
Beneficiaries
2
Codes Billed
2018-02
First Month
2018-08
Last Month

Provider Details

Authorized OfficialWASHINGTON, LORI (BILLING OFFICE SUPERVISOR)
NPI Enumeration Date08/10/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 30 12 $4K
D0140 Limited oral evaluation - problem focused 27 27 $670.41