Medicaid Provider Spending

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

LEE, JARED

NPI: 1235393190 · LOMA LINDA, CA 92354 · General Practice Dentistry · NPI assigned 07/10/2008

$12K
Total Medicaid Paid
317
Total Claims
303
Beneficiaries
5
Codes Billed
2018-02
First Month
2020-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 171 $6K
2019 96 $4K
2020 50 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 117 112 $5K
D1120 Prophylaxis - child 83 80 $5K
D1206 Topical application of fluoride varnish 91 87 $2K
D0220 Intraoral - periapical first radiographic image 13 12 $244.30
D0230 Intraoral - periapical each additional radiographic image 13 12 $211.70