Medicaid Provider Spending

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

VADIM LEBOVICH DDS INC

NPI: 1407352909 · THOUSAND OAKS, CA 91360 · Dentist · NPI assigned 04/03/2018

$7K
Total Medicaid Paid
145
Total Claims
145
Beneficiaries
3
Codes Billed
2018-08
First Month
2019-12
Last Month

Provider Details

Authorized OfficialLEBOVICH, VADIM (PRESIDENT/DENTIST)
NPI Enumeration Date04/03/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31 $2K
2019 114 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 68 68 $4K
D0210 Intraoral - complete series of radiographic images 53 53 $2K
D1208 Topical application of fluoride, excluding varnish 24 24 $272.00