Medicaid Provider Spending

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

RAYL ENTERPRISES, PROF. LLC

NPI: 1538412077 · CASTLE ROCK, CO 80108 · Dentist · NPI assigned 10/22/2012

$12K
Total Medicaid Paid
315
Total Claims
305
Beneficiaries
7
Codes Billed
2018-10
First Month
2018-12
Last Month

Provider Details

Authorized OfficialRAYL, JEFFREY (OWNER)
NPI Enumeration Date10/22/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 315 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 88 87 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 20 13 $3K
D0120 Periodic oral evaluation - established patient 87 86 $2K
D0274 Bitewings - four radiographic images 56 55 $2K
D0150 Comprehensive oral evaluation - new or established patient 29 29 $1K
D1120 Prophylaxis - child 17 17 $508.32
D1206 Topical application of fluoride varnish 18 18 $293.76