Medicaid Provider Spending

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

JEFFREY T. LODL, D.D.S

NPI: 1720497431 · ARVADA, CO 80002 · General Practice Dentistry · NPI assigned 08/06/2014

$4K
Total Medicaid Paid
166
Total Claims
161
Beneficiaries
4
Codes Billed
2021-07
First Month
2024-06
Last Month

Provider Details

Authorized OfficialLODL, JEFFREY (OWNER/ DOCTOR)
NPI Enumeration Date08/06/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $292.62
2022 15 $383.46
2023 96 $2K
2024 43 $950.27

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 86 85 $2K
D0220 Intraoral - periapical first radiographic image 55 51 $765.80
D0274 Bitewings - four radiographic images 13 13 $386.10
D0230 Intraoral - periapical each additional radiographic image 12 12 $243.38