Medicaid Provider Spending

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

R.E. LEVI DENTAL CORPORATION

NPI: 1952825648 · LAKE ELSINORE, CA 92530 · Dentist · NPI assigned 08/03/2017

$2K
Total Medicaid Paid
28
Total Claims
28
Beneficiaries
2
Codes Billed
2021-06
First Month
2021-06
Last Month

Provider Details

Authorized OfficialLEVI, ROYA (OWNER)
NPI Enumeration Date08/03/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 28 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 16 16 $1K
D0210 Intraoral - complete series of radiographic images 12 12 $576.00