Medicaid Provider Spending

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

LLANES, BRAINARD

NPI: 1366575375 · ROSELLE, IL 60172 · General Practice Dentistry · NPI assigned 03/13/2007

$3K
Total Medicaid Paid
110
Total Claims
104
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 42 40 $2K
D0120 Periodic oral evaluation - established patient 42 40 $1K
D1208 Topical application of fluoride, excluding varnish 26 24 $624.00