Medicaid Provider Spending

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

DLIGHT DENTAL

NPI: 1235594649 · ROCKVILLE, MD 20850 · Periodontist · NPI assigned 12/30/2015

$1K
Total Medicaid Paid
68
Total Claims
64
Beneficiaries
4
Codes Billed
2020-02
First Month
2021-11
Last Month

Provider Details

Authorized OfficialLI, JEAN (OWNER)
NPI Enumeration Date12/30/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 52 $1K
2021 16 $299.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 28 24 $598.08
D0120 Periodic oral evaluation - established patient 15 15 $436.20
D0274 Bitewings - four radiographic images 13 13 $286.00
D1330 12 12 $72.00