Medicaid Provider Spending

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

JD LOTHYAN DDS PLLC

NPI: 1689384299 · AUBURN, WA 98002 · Pediatric Dentist · NPI assigned 12/05/2022

$71K
Total Medicaid Paid
3,774
Total Claims
2,849
Beneficiaries
12
Codes Billed
2023-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBARTLETT, JESSICA (BILLING INSURANCE COORDINATOR)
NPI Enumeration Date12/05/2022

Related Entities

Other providers sharing the same authorized official: BARTLETT, JESSICA

ProviderCityStateTotal Paid
J. LOTHYAN, D.D.S., P.L.L.C. AUBURN WA $1.45M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,484 $18K
2024 2,290 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 704 578 $20K
D1206 Topical application of fluoride varnish 854 671 $18K
D1120 Prophylaxis - child 792 624 $18K
D0150 Comprehensive oral evaluation - new or established patient 114 83 $4K
D0220 Intraoral - periapical first radiographic image 437 317 $3K
D0272 Bitewings - two radiographic images 307 232 $2K
D1351 Sealant - per tooth 77 17 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 43 39 $1K
D0330 Panoramic radiographic image 28 26 $978.65
D0230 Intraoral - periapical each additional radiographic image 389 234 $695.19
D1110 Prophylaxis - adult 14 13 $529.43
D0274 Bitewings - four radiographic images 15 15 $225.45