Medicaid Provider Spending

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

ED LAZER DDS PC

NPI: 1740576552 · FALLSTON, MD 21047 · General Practice Dentistry · NPI assigned 06/21/2011

$22K
Total Medicaid Paid
765
Total Claims
755
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialSHOFFNER, TAYLOR (DIRECTOR OF OPERATIONS)
NPI Enumeration Date06/21/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 351 $10K
2019 212 $6K
2020 107 $3K
2021 69 $2K
2024 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 400 393 $10K
D0120 Periodic oral evaluation - established patient 291 290 $8K
D1110 Prophylaxis - adult 44 43 $3K
D1120 Prophylaxis - child 30 29 $1K