Medicaid Provider Spending

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

LOWE, TONTRA

NPI: 1215035258 · HAYMARKET, VA 20169 · General Practice Dentistry · NPI assigned 09/21/2006

$4K
Total Medicaid Paid
167
Total Claims
167
Beneficiaries
3
Codes Billed
2018-08
First Month
2021-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $270.27
2019 74 $2K
2020 56 $1K
2021 24 $491.28

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 71 71 $1K
D0120 Periodic oral evaluation - established patient 63 63 $1K
D1120 Prophylaxis - child 33 33 $1K