Medicaid Provider Spending

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

LE, DANNY

NPI: 1750502175 · WEST VALLEY CITY, UT 84120 · General Practice Dentistry · NPI assigned 05/02/2007

$15K
Total Medicaid Paid
408
Total Claims
337
Beneficiaries
9
Codes Billed
2021-06
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 38 $6K
2022 98 $3K
2023 177 $3K
2024 95 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 38 38 $7K
D0274 Bitewings - four radiographic images 78 77 $2K
D1110 Prophylaxis - adult 28 24 $1K
D0220 Intraoral - periapical first radiographic image 77 69 $1K
D0120 Periodic oral evaluation - established patient 13 13 $1K
D0230 Intraoral - periapical each additional radiographic image 106 49 $839.86
D1120 Prophylaxis - child 13 13 $558.72
D1206 Topical application of fluoride varnish 28 28 $546.75
D0330 Panoramic radiographic image 27 26 $314.40