Medicaid Provider Spending

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

LOLA J. JOHN-ROBERTS, DMD PC

NPI: 1770971228 · EAST AMHERST, NY 14051 · Dentist · NPI assigned 01/07/2015

$2K
Total Medicaid Paid
67
Total Claims
67
Beneficiaries
2
Codes Billed
2021-08
First Month
2022-07
Last Month

Provider Details

Authorized OfficialJOHN-ROBERTS, LOLA (OWNER)
NPI Enumeration Date01/07/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 29 $1K
2022 38 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 55 55 $2K
D1110 Prophylaxis - adult 12 12 $660.25