Medicaid Provider Spending

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

LE, ANDY

NPI: 1750760039 · BOUTTE, LA 70039 · General Practice Dentistry · NPI assigned 05/20/2015

$12K
Total Medicaid Paid
249
Total Claims
199
Beneficiaries
4
Codes Billed
2019-01
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 249 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 87 86 $4K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 61 13 $3K
D0210 Intraoral - complete series of radiographic images 50 50 $3K
D1110 Prophylaxis - adult 51 50 $2K