Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › CLEARLAKE › SIMON LEE DENTAL

SIMON LEE DENTAL

NPI: 1295845717 · CLEARLAKE, CA 95422 · 122300000X

$92K
Total Medicaid Paid
2,508
Total Claims
1,987
Beneficiaries
9
Codes Billed
2018-01
First Month
2021-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 947 $51K
2019 740 $20K
2020 759 $19K
2021 62 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9430 790 782 $25K
D3330 45 40 $21K
D7140 291 76 $17K
D0330 306 306 $9K
D0150 184 183 $9K
D0210 198 198 $9K
D0230 575 283 $2K
D0220 107 107 $1K
D0274 12 12 $64.80