Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › ORANGE › BRIDENT NEVADA EMILY LEE DDS PC

BRIDENT NEVADA EMILY LEE DDS PC

NPI: 1295452142 · ORANGE, CA 92868 · Dentist · NPI assigned 10/21/2022

$6K
Total Medicaid Paid
380
Total Claims
286
Beneficiaries
5
Codes Billed
2022-12
First Month
2023-05
Last Month

Provider Details

Authorized OfficialLESSO, ROSA (NATIONAL DIRECTOR OF RCM)
NPI Enumeration Date10/21/2022

Related Entities

Other providers sharing the same authorized official: LESSO, ROSA

ProviderCityStateTotal Paid
VITAL SMILES ALABAMA II PC ORANGE CA $29.07M
SPECIALTY DENTAL PARTNERS OF PHILADELPHIA PLLC WILLOW GROVE PA $2.79M
WESTERN DENTAL SERVICES, INC. ORANGE CA $2.23M
SOUMAVA SEN, DDS, P.C. HOUSTON TX $380K
WESTERN DENTAL OF AZ, INC. ORANGE CA $35K
BRIDENT DDS PC ORANGE CA $0.02
SOUMAVA SEN, DDS, P.C. ORANGE CA $0.00
BRIDENT DENTAL ASSOCIATES PC ORANGE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 93 $2K
2023 287 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 150 114 $3K
D1120 Prophylaxis - child 74 61 $2K
D0274 Bitewings - four radiographic images 52 42 $636.39
D0150 Comprehensive oral evaluation - new or established patient 28 25 $531.84
D0230 Intraoral - periapical each additional radiographic image 76 44 $229.71