Medicaid Provider Spending

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

HELEN J PRICE DDS LLC

NPI: 1366975468 · GRETNA, LA 70053 · General Practice Dentistry · NPI assigned 04/05/2017

$19K
Total Medicaid Paid
747
Total Claims
721
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-07
Last Month

Provider Details

Authorized OfficialPRICE, HELEN (OWNER)
NPI Enumeration Date04/05/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 669 $17K
2019 78 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 253 247 $7K
D1110 Prophylaxis - adult 139 126 $6K
D0272 Bitewings - two radiographic images 122 121 $2K
D1208 Topical application of fluoride, excluding varnish 92 92 $2K
D0220 Intraoral - periapical first radiographic image 127 121 $2K
D1120 Prophylaxis - child 14 14 $490.28