Medicaid Provider Spending

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

LIGHTHALL, DIRK

NPI: 1972794030 · PLEASANT VIEW, UT 84404 · General Practice Dentistry · NPI assigned 08/05/2007

$16K
Total Medicaid Paid
766
Total Claims
743
Beneficiary Records
5
Codes Billed
2018-01
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 346 $8K
2019 380 $8K
2020 40 $697.62

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1206 Topical application of fluoride varnish 369 358 $6K
D0120 Periodic oral evaluation - established patient 259 252 $5K
D1110 Prophylaxis - adult 68 63 $3K
D1120 Prophylaxis - child 42 42 $1K
D0274 Bitewings - four radiographic images 28 28 $656.34