Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › HASTINGS › LEBSACK, TIMOTHY

LEBSACK, TIMOTHY

NPI: 1134205412 · HASTINGS, NE 68901 · Dentist · NPI assigned 10/28/2006

$897.88
Total Medicaid Paid
39
Total Claims
39
Beneficiaries
2
Codes Billed
2018-06
First Month
2019-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $264.00
2019 27 $633.88

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 27 27 $599.28
D1206 Topical application of fluoride varnish 12 12 $298.60