Medicaid Provider Spending

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

LE DENTAL LLC

NPI: 1255773289 · LAS VEGAS, NV 89121 · General Practice Dentistry · NPI assigned 07/18/2013

$73K
Total Medicaid Paid
5,037
Total Claims
3,591
Beneficiaries
9
Codes Billed
2019-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialLE, TUAN (DENTIST)
NPI Enumeration Date07/18/2013

Related Entities

Other providers sharing the same authorized official: LE, TUAN

ProviderCityStateTotal Paid
LA PEARL DR.TUAN Q LE DDS INC GARDEN GROVE CA $53K
TUAN DAI LE, M.D, A PROFESSIONAL CORPORATION POMONA CA $19K
TUAN LE, M.D. A PROFESSIONAL CORPORATION SAN JOSE CA $7K
TJ PHARMACY LLC SAINT LOUIS MO $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,550 $40K
2020 790 $12K
2021 800 $9K
2022 668 $9K
2023 215 $2K
2024 14 $388.13

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 2,522 1,136 $17K
D1120 Prophylaxis - child 327 316 $14K
D0274 Bitewings - four radiographic images 575 564 $13K
D0220 Intraoral - periapical first radiographic image 954 928 $13K
D0140 Limited oral evaluation - problem focused 143 141 $5K
D0120 Periodic oral evaluation - established patient 205 202 $4K
D0150 Comprehensive oral evaluation - new or established patient 130 127 $4K
D1208 Topical application of fluoride, excluding varnish 168 164 $2K
D1999 13 13 $195.00