Medicaid Provider Spending

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

PROFESSIONAL LANE DENTAL, PLLC

NPI: 1508486424 · DOTHAN, AL 36303 · Dental Clinic/Center · NPI assigned 04/21/2020

$3K
Total Medicaid Paid
126
Total Claims
123
Beneficiaries
4
Codes Billed
2021-02
First Month
2024-06
Last Month

Provider Details

Authorized OfficialSTRICKLAND, JOLINDA (OFFICE MANAGER)
NPI Enumeration Date04/21/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 27 $625.00
2022 48 $1K
2023 25 $685.00
2024 26 $558.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 75 74 $2K
D1120 Prophylaxis - child 25 24 $702.00
D1110 Prophylaxis - adult 13 13 $550.00
D1208 Topical application of fluoride, excluding varnish 13 12 $216.00