Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › ALEXANDRIA › LESTER MOBILE DENTISTRY

LESTER MOBILE DENTISTRY

NPI: 1326595216 · ALEXANDRIA, LA 71303 · Dentist · NPI assigned 09/08/2016

$14K
Total Medicaid Paid
1,697
Total Claims
1,645
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialLESTER, DANIEL (OWNER)
NPI Enumeration Date09/08/2016

Related Entities

Other providers sharing the same authorized official: LESTER, DANIEL

ProviderCityStateTotal Paid
ALEXANDRIA ENDODONTICS, LLC ALEXANDRIA LA $503K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,440 $12K
2019 257 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 380 368 $8K
D1110 Prophylaxis - adult 135 129 $4K
D0350 101 95 $960.18
D0210 Intraoral - complete series of radiographic images 12 12 $720.00
D1206 Topical application of fluoride varnish 106 100 $0.00
D9311 375 367 $0.00
D9410 588 574 $0.00