Medicaid Provider Spending

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

BENJAMIN LU DDS A DENTAL CORPORATION

NPI: 1417333808 · TEMPLE CITY, CA 91780 · Dentist · NPI assigned 08/07/2015

$12K
Total Medicaid Paid
1,034
Total Claims
373
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialLU, BENJAMIN (DENTIST)
NPI Enumeration Date08/07/2015

Related Entities

Other providers sharing the same authorized official: LU, BENJAMIN

ProviderCityStateTotal Paid
BENJAMIN LU DDS A DENTAL CORPORATION ALHAMBRA CA $876K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 141 $655.00
2020 291 $3K
2021 602 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 63 63 $4K
D0230 Intraoral - periapical each additional radiographic image 681 86 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 39 20 $2K
D0220 Intraoral - periapical first radiographic image 104 104 $1K
D1208 Topical application of fluoride, excluding varnish 79 79 $1K
D0350 68 21 $652.80