Medicaid Provider Spending

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

LUMBERTON DENTAL CLINIC PA

NPI: 1982726824 · LUMBERTON, MS 39455 · Dentist · NPI assigned 04/04/2007

$2K
Total Medicaid Paid
57
Total Claims
57
Beneficiaries
2
Codes Billed
2021-04
First Month
2021-08
Last Month

Provider Details

Authorized OfficialVANN, WILLIAM (GENERAL DENTIST PRESIDENT)
NPI Enumeration Date04/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 57 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 44 44 $1K
D0120 Periodic oral evaluation - established patient 13 13 $355.58