Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › DELMAR › LIS, STANLEY

LIS, STANLEY

NPI: 1770628877 · DELMAR, NY 12054 · General Practice Dentistry · NPI assigned 02/20/2007

$20K
Total Medicaid Paid
608
Total Claims
605
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 608 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 238 237 $11K
D0120 Periodic oral evaluation - established patient 240 239 $6K
D0274 Bitewings - four radiographic images 130 129 $3K