Medicaid Provider Spending

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

RANDLE DENTAL CLINIC

NPI: 1801143110 · RANDLE, WA 98377 · Dental Clinic/Center · NPI assigned 08/07/2012

$57K
Total Medicaid Paid
3,249
Total Claims
3,148
Beneficiaries
9
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialLEMERT, RYAN (DENTIST/OWNER)
NPI Enumeration Date08/07/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 990 $18K
2019 970 $18K
2020 825 $14K
2021 464 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 916 901 $20K
D1120 Prophylaxis - child 734 721 $16K
D1208 Topical application of fluoride, excluding varnish 654 632 $9K
D0272 Bitewings - two radiographic images 371 361 $4K
D1999 257 224 $3K
D1206 Topical application of fluoride varnish 239 232 $3K
D1110 Prophylaxis - adult 40 39 $1K
D0150 Comprehensive oral evaluation - new or established patient 26 26 $881.44
D0274 Bitewings - four radiographic images 12 12 $180.36