Medicaid Provider Spending

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

COMFORT DENTAL OF LAFAYETTE

NPI: 1275732356 · LAFAYETTE, IN 47905 · General Practice Dentistry · NPI assigned 07/17/2007

$23K
Total Medicaid Paid
1,221
Total Claims
1,110
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialSTUBBS, LAWRENCE (PRESIDENT)
NPI Enumeration Date07/17/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 652 $8K
2019 353 $9K
2020 76 $2K
2021 64 $1K
2022 57 $1K
2023 19 $336.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 613 565 $10K
D1110 Prophylaxis - adult 273 249 $8K
D0274 Bitewings - four radiographic images 228 199 $5K
D0150 Comprehensive oral evaluation - new or established patient 15 14 $248.50
D1208 Topical application of fluoride, excluding varnish 92 83 $134.34