Medicaid Provider Spending

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

DAVID LE DENTISTRY PLLC

NPI: 1871647453 · HOUSTON, TX 77077 · General Practice Dentistry · NPI assigned 01/22/2007

$5K
Total Medicaid Paid
272
Total Claims
222
Beneficiaries
8
Codes Billed
2023-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLE, DAVID (PRESIDENT)
NPI Enumeration Date01/22/2007

Related Entities

Other providers sharing the same authorized official: LE, DAVID

ProviderCityStateTotal Paid
DIABETIC FOOT AND WOUND CENTER OF OKFAS OKLAHOMA CITY OK $132K
DAVID T. LE, MD, PA TOMBALL TX $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 124 $2K
2024 148 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 62 56 $2K
D0274 Bitewings - four radiographic images 30 27 $797.46
D1110 Prophylaxis - adult 13 12 $658.56
D0230 Intraoral - periapical each additional radiographic image 57 27 $553.99
D1208 Topical application of fluoride, excluding varnish 33 31 $455.70
D0220 Intraoral - periapical first radiographic image 31 27 $339.12
D1206 Topical application of fluoride varnish 15 12 $176.40
D0602 31 30 $0.00