Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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JASON D LYMAN DMD PC
NPI: 1932329588 · HOLBROOK, AZ 86025 ·
Dentist
· NPI assigned 04/26/2007
$8K
Total Medicaid Paid
229
Total Claims
225
Beneficiaries
3
Codes Billed
2023-01
First Month
2024-02
Last Month
Provider Details
Authorized Official
LYMAN, JASON
(DENTIST)
NPI Enumeration Date
04/26/2007
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
177
$6K
2024
52
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
87
85
$3K
D1208
Topical application of fluoride, excluding varnish
100
99
$3K
D1120
Prophylaxis - child
42
41
$2K