Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › LAWRENCE › HENDERSON, KELLI

HENDERSON, KELLI

NPI: 1497961338 · LAWRENCE, KS 66049 · Dentist · NPI assigned 05/15/2007

$3K
Total Medicaid Paid
153
Total Claims
152
Beneficiaries
4
Codes Billed
2018-10
First Month
2018-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 153 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 58 58 $2K
D1208 Topical application of fluoride, excluding varnish 58 58 $986.00
D0220 Intraoral - periapical first radiographic image 24 24 $288.00
D0230 Intraoral - periapical each additional radiographic image 13 12 $130.00