Medicaid Provider Spending

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

JONATHAN M DREW DDS INC

NPI: 1336830116 · LAKEPORT, CA 95453 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/15/2023

$3K
Total Medicaid Paid
114
Total Claims
113
Beneficiaries
4
Codes Billed
2024-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDREW, JONATHAN (OWNER)
NPI Enumeration Date05/15/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 114 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0340 30 29 $1K
D0140 Limited oral evaluation - problem focused 27 27 $945.00
D0330 Panoramic radiographic image 28 28 $840.00
D0350 29 29 $134.40