Medicaid Provider Spending

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

TERRY B. LESAN, D.D.S., P.L.C.

NPI: 1568803351 · LAMONI, IA 50140 · Dentist · NPI assigned 07/10/2013

$20K
Total Medicaid Paid
882
Total Claims
785
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialLESAN, TERRY (DENTIST)
NPI Enumeration Date07/10/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 332 $10K
2019 358 $7K
2020 127 $2K
2021 38 $505.39
2022 13 $255.32
2023 14 $255.32

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 376 366 $6K
D7140 Extraction, erupted tooth or exposed root 122 51 $6K
D1110 Prophylaxis - adult 147 139 $5K
D0150 Comprehensive oral evaluation - new or established patient 127 123 $3K
D0220 Intraoral - periapical first radiographic image 110 106 $1K