Medicaid Provider Spending

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

LPB DENTAL LLC

NPI: 1609650324 · BAYAMON, PR 00961 · Pediatric Dentist · NPI assigned 08/23/2023

$45K
Total Medicaid Paid
2,639
Total Claims
1,488
Beneficiaries
7
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPAGAN, LUISANA (PRESIDENT)
NPI Enumeration Date08/23/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 422 $7K
2024 2,217 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 631 351 $13K
D1999 839 481 $12K
D1208 Topical application of fluoride, excluding varnish 649 361 $9K
D0150 Comprehensive oral evaluation - new or established patient 160 84 $4K
D0145 Oral evaluation for a patient under three years of age 138 70 $3K
D0272 Bitewings - two radiographic images 119 61 $2K
D0120 Periodic oral evaluation - established patient 103 80 $2K