Medicaid Provider Spending

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

LEE, JAMES

NPI: 1821202375 · WALNUT, CA 91789 · General Practice Dentistry · NPI assigned 05/10/2007

$2K
Total Medicaid Paid
121
Total Claims
99
Beneficiaries
5
Codes Billed
2021-03
First Month
2021-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 121 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 20 20 $855.00
D1120 Prophylaxis - child 13 13 $360.00
D0274 Bitewings - four radiographic images 16 16 $324.00
D1208 Topical application of fluoride, excluding varnish 30 30 $260.00
D0230 Intraoral - periapical each additional radiographic image 42 20 $162.02