Medicaid Provider Spending

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

LESAN, JON

NPI: 1144398348 · JACKSONVILLE, NC 28540 · General Practice Dentistry · NPI assigned 12/04/2006

$189K
Total Medicaid Paid
8,425
Total Claims
8,013
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,123 $32K
2019 1,115 $25K
2020 1,017 $18K
2021 1,079 $24K
2022 1,313 $27K
2023 1,232 $27K
2024 1,546 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,971 1,897 $48K
D1110 Prophylaxis - adult 1,010 976 $36K
D1120 Prophylaxis - child 901 867 $23K
D1208 Topical application of fluoride, excluding varnish 1,441 1,391 $23K
D0220 Intraoral - periapical first radiographic image 1,410 1,328 $20K
D0230 Intraoral - periapical each additional radiographic image 986 933 $12K
D0274 Bitewings - four radiographic images 234 233 $7K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 52 25 $6K
D0330 Panoramic radiographic image 109 107 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 58 29 $5K
D0150 Comprehensive oral evaluation - new or established patient 104 93 $4K
D0140 Limited oral evaluation - problem focused 14 12 $442.22
D0272 Bitewings - two radiographic images 12 12 $135.45
D1999 123 110 $0.00