Medicaid Provider Spending

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

LEE, CHARLOTTE

NPI: 1174669170 · CRESSKILL, NJ 07626 · Dentist · NPI assigned 01/29/2007

$10K
Total Medicaid Paid
541
Total Claims
541
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 261 $4K
2019 235 $5K
2020 45 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 292 292 $7K
D0120 Periodic oral evaluation - established patient 121 121 $2K
D0150 Comprehensive oral evaluation - new or established patient 38 38 $595.00
D0210 Intraoral - complete series of radiographic images 25 25 $354.00
D0230 Intraoral - periapical each additional radiographic image 32 32 $264.50
D0220 Intraoral - periapical first radiographic image 33 33 $126.25