Medicaid Provider Spending

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

A. KEITH LETHCO D.M.D.,P.A.

NPI: 1730220146 · GREENWOOD, SC 29649 · Dentist · NPI assigned 02/09/2007

$38K
Total Medicaid Paid
1,188
Total Claims
1,188
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialLETHCO, ANDREW (PRESIDENT)
NPI Enumeration Date02/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 280 $8K
2019 227 $6K
2020 138 $4K
2021 161 $6K
2022 117 $4K
2023 161 $6K
2024 104 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 438 438 $22K
D0120 Periodic oral evaluation - established patient 646 646 $14K
D1208 Topical application of fluoride, excluding varnish 61 61 $988.20
D0272 Bitewings - two radiographic images 43 43 $776.54