Medicaid Provider Spending

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

LE, KHANH

NPI: 1285635821 · CANOGA PARK, CA 91303 · Pediatric Dentist · NPI assigned 08/04/2005

$15K
Total Medicaid Paid
324
Total Claims
321
Beneficiaries
4
Codes Billed
2022-04
First Month
2023-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 269 $12K
2023 55 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 99 98 $7K
D1120 Prophylaxis - child 105 104 $6K
D1208 Topical application of fluoride, excluding varnish 107 106 $2K
D0272 Bitewings - two radiographic images 13 13 $156.00