LOWE, LESTER
NPI: 1285675850
· MADERA, CA 93637
· General Practice Dentistry
· NPI assigned 06/08/2006
$154K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,079 |
$31K |
| 2019 |
1,902 |
$34K |
| 2020 |
1,390 |
$24K |
| 2021 |
1,333 |
$24K |
| 2022 |
1,444 |
$34K |
| 2023 |
229 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,330 |
1,328 |
$65K |
| D1110 |
Prophylaxis - adult |
287 |
287 |
$23K |
| D0220 |
Intraoral - periapical first radiographic image |
1,591 |
1,537 |
$18K |
| D1120 |
Prophylaxis - child |
545 |
545 |
$18K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,787 |
1,208 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
524 |
524 |
$5K |
| D0274 |
Bitewings - four radiographic images |
204 |
204 |
$4K |
| D9110 |
|
65 |
63 |
$4K |
| D1351 |
Sealant - per tooth |
44 |
12 |
$968.00 |