Medicaid Provider Spending

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

LEWIS DENTAL SERVICES

NPI: 1891487872 · IDAHO FALLS, ID 83401 · General Practice Dentistry · NPI assigned 05/25/2023

$52K
Total Medicaid Paid
958
Total Claims
819
Beneficiaries
8
Codes Billed
2024-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEWIS, JOSHUA (OWNER)
NPI Enumeration Date05/25/2023

Related Entities

Other providers sharing the same authorized official: LEWIS, JOSHUA

ProviderCityStateTotal Paid
JFL MEDICAL INC WEST HOLLYWOOD CA $153.97

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 958 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 215 155 $21K
D0210 Intraoral - complete series of radiographic images 159 159 $19K
D1110 Prophylaxis - adult 155 155 $4K
D7140 Extraction, erupted tooth or exposed root 62 17 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 80 46 $3K
D0150 Comprehensive oral evaluation - new or established patient 215 215 $1K
D0140 Limited oral evaluation - problem focused 59 59 $801.58
D0220 Intraoral - periapical first radiographic image 13 13 $0.00