Le Western Dentistry, PLLC

Le Western Dentistry, PLLC was paid $340K by Medicaid between May 2018 and Nov 2024, across 17 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 20% of everything it billed.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	649	$17K
2019	1,502	$54K
2020	1,716	$65K
2021	1,015	$29K
2022	1,952	$66K
2023	1,670	$61K
2024incomplete	1,518	$49K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2150	Silver amalgam - two surfaces, primary or permanent	20%	882	508	$67K
D1110	Prophylaxis - adult	17%	1,329	1,280	$59K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	1,737	1,661	$42K
D0140	Limited oral evaluation - problem focused	10%	1,098	1,069	$34K
D2160		8.2%	313	207	$28K
D1208	Topical application of fluoride, excluding varnish	7.9%	1,440	1,355	$27K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	5.5%	770	715	$19K
D0220	Intraoral - periapical first radiographic image	5.2%	1,066	1,024	$18K
D0272	Bitewings - two radiographic images	5.2%	792	722	$18K
D3330	Endodontic therapy, molar tooth (excluding final restoration)	2.8%	17	15	$10K
D1206	Topical application of fluoride varnish	1.4%	264	254	$5K
D1120	Dental cleaning, childProphylaxis - child	1.3%	123	95	$4K

5 more codes

D2140		1.1%	67	$4K
D7140	Extraction, erupted tooth or exposed root	1.0%	51	$4K
D0210	Intraoral - complete series of radiographic images	<1%	30	$2K
D0150	Comprehensive oral evaluation - new or established patient	<1%	15	$410.40
D0274	Bitewings - four radiographic images	<1%	28	$350.50

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLE, ISAAC (OWNER)