Medicaid Provider Spending

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

LEMOS DENTAL CORPORATION

NPI: 1639837073 · REDLANDS, CA 92374 · Dental Clinic/Center · NPI assigned 12/02/2021

$20K
Total Medicaid Paid
136
Total Claims
121
Beneficiaries
4
Codes Billed
2023-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEMOS, LUIS (GENERAL DENTIST OWNER)
NPI Enumeration Date12/02/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 40 $2K
2024 96 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2740 Crown - porcelain/ceramic 34 19 $16K
D0150 Comprehensive oral evaluation - new or established patient 31 31 $2K
D0210 Intraoral - complete series of radiographic images 27 27 $1K
D1206 Topical application of fluoride varnish 44 44 $645.50