Medicaid Provider Spending

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

LEWIS, DINE AND ASSOCIATES, P.A.

NPI: 1336317692 · FAYETTEVILLE, NC 28311 · Dentist · NPI assigned 02/20/2008

$7K
Total Medicaid Paid
291
Total Claims
275
Beneficiaries
3
Codes Billed
2022-07
First Month
2023-11
Last Month

Provider Details

Authorized OfficialLEWIS, KENNETH (DENTIST)
NPI Enumeration Date02/20/2008

Related Entities

Other providers sharing the same authorized official: LEWIS, KENNETH

ProviderCityStateTotal Paid
KENNETH C. LEWIS MD,LLC GRAND JUNCTION CO $135K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 131 $3K
2023 160 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 194 182 $5K
D1110 Prophylaxis - adult 55 54 $2K
D1206 Topical application of fluoride varnish 42 39 $637.64