Medicaid Provider Spending

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

LE WESTERN DENTISTRY, PLLC

NPI: 1922569573 · CHARLESTON, AR 72933 · General Practice Dentistry · NPI assigned 03/27/2019

$22K
Total Medicaid Paid
932
Total Claims
916
Beneficiaries
6
Codes Billed
2021-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWORK, CASSI (CLINIC COORDINATOR)
Parent OrganizationLE WESTERN DENTISTRY, PLLC
NPI Enumeration Date03/27/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 195 $5K
2022 392 $9K
2023 134 $3K
2024 211 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 323 323 $6K
D0272 244 238 $5K
D1110 114 114 $5K
D0120 154 154 $4K
D1206 82 74 $2K
D9230 15 13 $332.40