Medicaid Provider Spending

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

LEE, PETER

NPI: 1477803864 · HONOLULU, HI 96822 · Dentist · NPI assigned 09/13/2012

$6K
Total Medicaid Paid
288
Total Claims
288
Beneficiaries
6
Codes Billed
2019-10
First Month
2021-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 123 $3K
2020 103 $2K
2021 62 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 51 51 $2K
D0120 Periodic oral evaluation - established patient 49 49 $1K
D0240 52 52 $1K
D1208 Topical application of fluoride, excluding varnish 52 52 $736.32
D0220 Intraoral - periapical first radiographic image 56 56 $698.88
D0272 Bitewings - two radiographic images 28 28 $559.16