Medicaid Provider Spending

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

DESAMEAU AND OKONS PLLC

NPI: 1396432480 · SALISBURY, NC 28144 · General Practice Dentistry · NPI assigned 04/19/2023

$16K
Total Medicaid Paid
844
Total Claims
541
Beneficiaries
7
Codes Billed
2024-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLUGERO, SHANNON (PRACTICE MANAGER)
NPI Enumeration Date04/19/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 844 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 176 106 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 39 16 $3K
D0274 Bitewings - four radiographic images 144 86 $3K
D0220 Intraoral - periapical first radiographic image 250 170 $2K
D0230 Intraoral - periapical each additional radiographic image 175 105 $1K
D1110 Prophylaxis - adult 35 33 $895.92
D0140 Limited oral evaluation - problem focused 25 25 $830.99