Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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NAKNEK CAMAI DENTAL CLINIC LLC

NPI: 1447743018 · NAKNEK, AK 99633 · Dental Clinic/Center · NPI assigned 06/08/2018

$3K
Total Medicaid Paid
59
Total Claims
58
Beneficiaries
4
Codes Billed
2022-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialLUCAS, KELLY (DENTIST/OWNER)
NPI Enumeration Date06/08/2018

Related Entities

Other providers sharing the same authorized official: LUCAS, KELLY

ProviderCityStateTotal Paid
METROPOLITAN PODIATRY ASSOCIATES PC KEW GARDENS NY $61K
CAMAI DENTAL CLINIC LLC WASILLA AK $19K
RISING PHOENIX COUNSELING LLC STREETSBORO OH $16K
ANCHORAGE CAMAI DENTAL CLINIC, LLC ANCHORAGE AK $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 59 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 12 12 $1K
D1120 Prophylaxis - child 15 15 $974.25
D0120 Periodic oral evaluation - established patient 14 13 $537.46
D1206 Topical application of fluoride varnish 18 18 $484.50