LEWIS, CARLA
NPI: 1740305515
· EAST SAINT LOUIS, IL 62205
· General Practice Dentistry
· NPI assigned 03/20/2007
$566K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,770 |
$54K |
| 2019 |
2,186 |
$63K |
| 2020 |
514 |
$15K |
| 2021 |
1,945 |
$85K |
| 2022 |
2,771 |
$121K |
| 2023 |
3,185 |
$127K |
| 2024 |
2,645 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
3,777 |
1,761 |
$248K |
| D1120 |
Prophylaxis - child |
3,460 |
3,356 |
$141K |
| D1206 |
Topical application of fluoride varnish |
3,411 |
3,312 |
$88K |
| D0120 |
Periodic oral evaluation - established patient |
2,547 |
2,479 |
$69K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
816 |
772 |
$20K |
| D0601 |
|
768 |
757 |
$0.00 |
| D0602 |
|
237 |
228 |
$0.00 |