Medicaid Provider Spending

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

THAT CERTAIN LOOK, INC.

NPI: 1326370990 · JUDSONIA, AR 72081 · Prosthetic/Orthotic Supplier · NPI assigned 02/08/2010

$34K
Total Medicaid Paid
596
Total Claims
484
Beneficiaries
3
Codes Billed
2018-04
First Month
2023-07
Last Month

Provider Details

Authorized OfficialJAMES, ANITA (CAO)
NPI Enumeration Date02/08/2010

Related Entities

Other providers sharing the same authorized official: JAMES, ANITA

ProviderCityStateTotal Paid
SOLTERRA AT WHITE MOUNTAINS, LLC LAKESIDE AZ $798K
CITY OF KINGFISHER KINGFISHER OK $92K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 164 $6K
2019 107 $3K
2020 41 $3K
2021 112 $8K
2022 107 $8K
2023 65 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L8020 Breast prosthesis, mastectomy form 365 270 $29K
L8000 Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type 173 161 $3K
L8015 External breast prosthesis garment, with mastectomy form, post mastectomy 58 53 $2K