Medicaid Provider Spending

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

LECLAIR DENTAL,LLC

NPI: 1144645292 · BEVERLY, MA 01915 · General Practice Dentistry · NPI assigned 02/26/2014

$11K
Total Medicaid Paid
400
Total Claims
324
Beneficiaries
3
Codes Billed
2018-07
First Month
2019-09
Last Month

Provider Details

Authorized OfficialLECLAIR, DONALD (OWNER)
NPI Enumeration Date02/26/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 172 $5K
2019 228 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 160 129 $7K
D0120 Periodic oral evaluation - established patient 228 183 $4K
D1206 Topical application of fluoride varnish 12 12 $312.00