Medicaid Provider Spending

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

NPI: 1467599258 · LESLIE, MI 49251 · Dentist · NPI assigned 01/31/2007

$2K
Total Medicaid Paid
74
Total Claims
74
Beneficiary Records
2
Codes Billed
2020-10
First Month
2023-05
Last Month

Provider Details

Authorized OfficialMONDRAGON, ROBERT (DOCTOR)
NPI Enumeration Date01/31/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $336.00
2021 25 $856.00
2022 25 $881.00
2023 12 $300.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 49 49 $1K
D1120 Prophylaxis - child 25 25 $1K