Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › WESTMINSTER › LY DENTAL CORPORATION

LY DENTAL CORPORATION

NPI: 1316495880 · WESTMINSTER, CA 92683 · 1223G0001X

$83K
Total Medicaid Paid
4,274
Total Claims
2,126
Beneficiaries
13
Codes Billed
2018-01
First Month
2019-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,386 $38K
2019 1,888 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 375 373 $28K
D0230 2,443 399 $10K
D0120 241 241 $10K
D4910 121 121 $9K
D0150 142 142 $7K
D4341 91 24 $6K
D1208 500 499 $6K
D0210 37 37 $2K
D2391 29 13 $2K
D0272 120 119 $1K
D0220 112 110 $1K
D1120 19 19 $570.00
D0350 44 29 $441.60