Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BELLEROSE › LEE, JOHN

LEE, JOHN

NPI: 1255487112 · BELLEROSE, NY 11426 · General Practice Dentistry · NPI assigned 01/25/2007

$2K
Total Medicaid Paid
146
Total Claims
146
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 146 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 60 60 $951.68
D0120 Periodic oral evaluation - established patient 60 60 $485.84
D0230 Intraoral - periapical each additional radiographic image 13 13 $93.13
D0274 Bitewings - four radiographic images 13 13 $70.57