Medicaid Provider Spending

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

LEJLA STREETS DMD PLLC

NPI: 1558025056 · PINEHURST, NC 28374 · General Practice Dentistry · NPI assigned 10/30/2021

$4K
Total Medicaid Paid
182
Total Claims
155
Beneficiaries
3
Codes Billed
2024-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSTREETS, LEJLA (OWNER)
NPI Enumeration Date10/30/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 182 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 72 63 $2K
D0150 Comprehensive oral evaluation - new or established patient 44 33 $2K
D1206 Topical application of fluoride varnish 66 59 $939.68