Medicaid Provider Spending

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

LAJEVIC, DEJA

NPI: 1407187321 · NORTH HUNTINGDON, PA 15642 · Dentist · NPI assigned 01/15/2010

$18K
Total Medicaid Paid
743
Total Claims
743
Beneficiaries
5
Codes Billed
2018-01
First Month
2019-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 588 $14K
2019 155 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 270 270 $6K
D1208 Topical application of fluoride, excluding varnish 232 232 $4K
D1120 Prophylaxis - child 128 128 $4K
D1110 Prophylaxis - adult 62 62 $3K
D0272 Bitewings - two radiographic images 51 51 $1K