Medicaid Provider Spending

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

NPI: 1346687985 · LEADVILLE, CO 80461 · Dentist · NPI assigned 05/22/2013

$11K
Total Medicaid Paid
499
Total Claims
499
Beneficiaries
3
Codes Billed
2018-02
First Month
2023-05
Last Month

Provider Details

Authorized OfficialSCHAMBERGER, LANCE (OWENER)
NPI Enumeration Date05/22/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52 $1K
2019 132 $3K
2020 155 $4K
2021 105 $2K
2022 42 $908.64
2023 13 $319.57

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 335 335 $8K
D1120 Prophylaxis - child 64 64 $2K
D1208 Topical application of fluoride, excluding varnish 100 100 $1K