Medicaid Provider Spending

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

LE, BRYAN

NPI: 1972811180 · VALLEJO, CA 94591 · General Practice Dentistry · NPI assigned 09/22/2010

$1K
Total Medicaid Paid
135
Total Claims
99
Beneficiaries
4
Codes Billed
2023-01
First Month
2023-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 135 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 64 28 $679.09
D0220 Intraoral - periapical first radiographic image 29 29 $326.56
D1208 Topical application of fluoride, excluding varnish 15 15 $220.50
D0603 27 27 $0.00