Medicaid Provider Spending

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

JIMMY LAI DMD PC

NPI: 1376897108 · RANDOLPH, MA 02368 · Dental Clinic/Center · NPI assigned 10/31/2012

$18K
Total Medicaid Paid
637
Total Claims
612
Beneficiaries
6
Codes Billed
2019-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialLAI, JIMMY (PRESIDENT)
NPI Enumeration Date10/31/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $186.00
2020 32 $878.00
2021 146 $4K
2022 216 $6K
2023 128 $4K
2024 103 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 161 156 $8K
D0120 Periodic oral evaluation - established patient 136 135 $3K
D0220 Intraoral - periapical first radiographic image 206 191 $3K
D0274 Bitewings - four radiographic images 57 56 $2K
D0230 Intraoral - periapical each additional radiographic image 62 60 $802.00
D0150 Comprehensive oral evaluation - new or established patient 15 14 $665.00