Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AK › WASILLA › CAMAI DENTAL CLINIC LLC

CAMAI DENTAL CLINIC LLC

NPI: 1376089128 · WASILLA, AK 99654 · General Practice Dentistry · NPI assigned 01/17/2017

$19K
Total Medicaid Paid
328
Total Claims
305
Beneficiaries
9
Codes Billed
2018-11
First Month
2020-09
Last Month

Provider Details

Authorized OfficialLUCAS, KELLY (OWNER/PRACTITIONER)
NPI Enumeration Date01/17/2017

Related Entities

Other providers sharing the same authorized official: LUCAS, KELLY

ProviderCityStateTotal Paid
METROPOLITAN PODIATRY ASSOCIATES PC KEW GARDENS NY $61K
RISING PHOENIX COUNSELING LLC STREETSBORO OH $16K
ANCHORAGE CAMAI DENTAL CLINIC, LLC ANCHORAGE AK $13K
NAKNEK CAMAI DENTAL CLINIC LLC NAKNEK AK $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43 $2K
2019 215 $14K
2020 70 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 113 102 $6K
D1110 Prophylaxis - adult 62 60 $5K
D0330 Panoramic radiographic image 29 28 $3K
D0150 Comprehensive oral evaluation - new or established patient 29 27 $2K
D0120 Periodic oral evaluation - established patient 38 37 $2K
D0140 Limited oral evaluation - problem focused 18 14 $977.25
D1120 Prophylaxis - child 14 13 $649.50
D1206 Topical application of fluoride varnish 13 12 $342.00
D0220 Intraoral - periapical first radiographic image 12 12 $278.52