Medicaid Provider Spending

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

KENDALL J LEE DDS PLLC

NPI: 1245837806 · HILLSDALE, MI 49242 · Dental Clinic/Center · NPI assigned 10/07/2020

$36K
Total Medicaid Paid
1,309
Total Claims
1,309
Beneficiaries
5
Codes Billed
2022-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEE, KENDALL (DENTIST)
NPI Enumeration Date10/07/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 489 $13K
2023 501 $14K
2024 319 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 677 677 $18K
D1120 Prophylaxis - child 273 273 $10K
D0272 Bitewings - two radiographic images 204 204 $5K
D1208 Topical application of fluoride, excluding varnish 130 130 $3K
D1110 Prophylaxis - adult 25 25 $939.00