Medicaid Provider Spending

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

LANE C. STUMPOS DDS PC

NPI: 1437531928 · ALBION, MI 49224 · Dentist · NPI assigned 06/22/2015

$10K
Total Medicaid Paid
418
Total Claims
418
Beneficiaries
4
Codes Billed
2019-03
First Month
2021-11
Last Month

Provider Details

Authorized OfficialSTUMPOS, LANE (OWNER)
NPI Enumeration Date06/22/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 103 $3K
2020 69 $1K
2021 246 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 216 216 $5K
D1120 Prophylaxis - child 66 66 $2K
D1206 Topical application of fluoride varnish 108 108 $2K
D1208 Topical application of fluoride, excluding varnish 28 28 $504.00