Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LIFETIME DENTAL PROFESSIONALS OF NEW HAMPSHIRE, P.C.

NPI: 1497979918 · PLYMOUTH, NH 03264 · General Practice Dentistry · NPI assigned 04/13/2007

$11K
Total Medicaid Paid
366
Total Claims
337
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialEDMONDS, LORI (CREDENTIALING COORDINATOR)
Parent OrganizationLIFETIME DENTAL PROFESSIONALS OF NEW HAM
NPI Enumeration Date04/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 226 $6K
2019 114 $4K
2020 13 $655.68
2023 13 $250.03

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 105 98 $4K
D1110 Prophylaxis - adult 72 69 $3K
D1206 Topical application of fluoride varnish 113 103 $2K
D0330 Panoramic radiographic image 31 28 $937.50
D0120 Periodic oral evaluation - established patient 33 27 $732.00
D0220 Intraoral - periapical first radiographic image 12 12 $84.00