Medicaid Provider Spending

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

LILLY, ABRAHAM

NPI: 1548327141 · WHITE SULPHUR SPRINGS, WV 24986 · Dentist · NPI assigned 01/02/2007

$18K
Total Medicaid Paid
597
Total Claims
567
Beneficiaries
6
Codes Billed
2020-06
First Month
2024-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 35 $346.52
2021 57 $1K
2022 134 $4K
2023 269 $9K
2024 102 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 314 301 $8K
D1110 Prophylaxis - adult 116 115 $6K
D1206 Topical application of fluoride varnish 121 111 $2K
D0274 Bitewings - four radiographic images 14 14 $569.80
D1120 Prophylaxis - child 12 12 $399.00
D1999 20 14 $0.00