Medicaid Provider Spending

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

LE, TRANG

NPI: 1417054727 · HONOLULU, HI 96816 · General Practice Dentistry · NPI assigned 09/20/2006

$39K
Total Medicaid Paid
1,236
Total Claims
1,235
Beneficiaries
8
Codes Billed
2020-07
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $378.56
2021 79 $2K
2023 218 $8K
2024 926 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 272 272 $11K
D0210 Intraoral - complete series of radiographic images 120 120 $7K
D1206 Topical application of fluoride varnish 308 308 $7K
D0120 Periodic oral evaluation - established patient 187 187 $5K
D0150 Comprehensive oral evaluation - new or established patient 125 125 $5K
D0274 Bitewings - four radiographic images 78 78 $2K
D0220 Intraoral - periapical first radiographic image 134 133 $1K
D0230 Intraoral - periapical each additional radiographic image 12 12 $130.32