Medicaid Provider Spending

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

LM DENTAL LLC

NPI: 1801322565 · BRAINTREE, MA 02184 · Dental Hygienist · NPI assigned 05/02/2017

$26K
Total Medicaid Paid
737
Total Claims
580
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialSPIEGEL, LILY (MANAGER)
NPI Enumeration Date05/02/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 215 $8K
2019 374 $13K
2020 148 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 215 58 $9K
D1120 Prophylaxis - child 153 153 $7K
D0190 186 186 $5K
D1206 Topical application of fluoride varnish 183 183 $4K