Medicaid Provider Spending

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

LEE, KEVIN

NPI: 1558543736 · GREAT NECK, NY 11021 · General Practice Dentistry · NPI assigned 11/29/2007

$5K
Total Medicaid Paid
400
Total Claims
394
Beneficiaries
6
Codes Billed
2019-06
First Month
2023-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 227 $3K
2020 83 $1K
2021 27 $118.00
2023 63 $839.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 68 68 $2K
D0120 Periodic oral evaluation - established patient 69 69 $1K
D0274 Bitewings - four radiographic images 44 44 $686.00
D0230 Intraoral - periapical each additional radiographic image 110 108 $594.20
D0220 Intraoral - periapical first radiographic image 83 79 $427.00
D1208 Topical application of fluoride, excluding varnish 26 26 $260.00