Medicaid Provider Spending

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

TIMOTHY LEETRAKUL DDS DENTAL CORPORATION

NPI: 1699177642 · NORTH HOLLYWOOD, CA 91605 · General Practice Dentistry · NPI assigned 09/22/2014

$4K
Total Medicaid Paid
239
Total Claims
161
Beneficiaries
3
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLEETRAKUL, TIMOTHY (PRESIDENT)
NPI Enumeration Date09/22/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $858.00
2022 54 $218.70
2023 88 $1K
2024 84 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 26 25 $2K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $858.00
D0230 Intraoral - periapical each additional radiographic image 200 123 $818.10