Medicaid Provider Spending

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

LOTUS DENTAL PLLC

NPI: 1336890904 · BURTON, MI 48509 · Dental Clinic/Center · NPI assigned 01/14/2022

$32K
Total Medicaid Paid
1,627
Total Claims
1,312
Beneficiaries
8
Codes Billed
2022-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSEELA, LAVANYA (DENTIST)
NPI Enumeration Date01/14/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 222 $4K
2023 656 $13K
2024 749 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 158 158 $8K
D0120 Periodic oral evaluation - established patient 278 278 $8K
D0220 Intraoral - periapical first radiographic image 369 363 $5K
D0230 Intraoral - periapical each additional radiographic image 576 277 $4K
D1206 Topical application of fluoride varnish 100 100 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 23 13 $2K
D0274 Bitewings - four radiographic images 110 110 $2K
D1120 Prophylaxis - child 13 13 $506.30