Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LEE, JESSICA
NPI: 1366177883 · ELKHART, IN 46514 ·
General Practice Dentistry
· NPI assigned 07/19/2022
$1K
Total Medicaid Paid
37
Total Claims
37
Beneficiaries
2
Codes Billed
2023-04
First Month
2023-05
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
37
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
Prophylaxis - adult
13
13
$764.05
D0120
Periodic oral evaluation - established patient
24
24
$614.12