Medicaid Provider Spending

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

LESLIE WELLS DMD, PLLC

NPI: 1225369705 · NEW AUGUSTA, MS 39462 · General Practice Dentistry · NPI assigned 01/22/2010

$50K
Total Medicaid Paid
2,774
Total Claims
2,067
Beneficiaries
6
Codes Billed
2018-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWELLS, LESLIE (OWNER)
NPI Enumeration Date01/22/2010

Related Entities

Other providers sharing the same authorized official: WELLS, LESLIE

ProviderCityStateTotal Paid
LESLIE J WELLS FRENCHBURG KY $118.16

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 791 $5K
2019 488 $11K
2020 217 $5K
2021 349 $6K
2022 322 $7K
2023 270 $6K
2024 337 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 963 720 $20K
D0120 Periodic oral evaluation - established patient 475 437 $11K
D1208 Topical application of fluoride, excluding varnish 847 627 $10K
D0150 Comprehensive oral evaluation - new or established patient 465 259 $7K
D0140 Limited oral evaluation - problem focused 12 12 $464.28
D0272 Bitewings - two radiographic images 12 12 $256.44