Medicaid Provider Spending

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

MAI, LEE

NPI: 1710479795 · DUNCAN, SC 29334 · General Practice Dentistry · NPI assigned 06/05/2018

$68K
Total Medicaid Paid
1,855
Total Claims
1,594
Beneficiaries
17
Codes Billed
2022-11
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 418 $16K
2024 1,437 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 108 56 $13K
D1120 Prophylaxis - child 289 289 $10K
D1206 Topical application of fluoride varnish 325 325 $7K
D0120 Periodic oral evaluation - established patient 251 251 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 69 48 $6K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 141 135 $4K
D7140 Extraction, erupted tooth or exposed root 61 36 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 50 34 $4K
D1351 Sealant - per tooth 86 27 $3K
D9248 29 28 $3K
D0330 Panoramic radiographic image 42 42 $2K
D0150 Comprehensive oral evaluation - new or established patient 54 54 $2K
D0272 Bitewings - two radiographic images 70 70 $1K
D0230 Intraoral - periapical each additional radiographic image 126 45 $1K
D0220 Intraoral - periapical first radiographic image 98 98 $1K
D1110 Prophylaxis - adult 18 18 $907.20
D0140 Limited oral evaluation - problem focused 38 38 $780.69