Was it not used extensively throughout the Roman empire? How did the "concrete" with its many applications become "lost" in the first place?
I'd like to be clear that concrete was not lost at any point, and the Romans did not invent it.
The particular technology I believe you are speaking of is what is referred to as "Pozzolan" concrete, which uses a recipe that found popularity first in Latium (usually accredited to the area around Napoli, specifically).
"Roman concrete" was merely their particular recipe that involved using lime and pumice binder material from the greater Italy region. Historically, Germany and Greece also have similar deposits that can produce the same effect, but I won't pretend to be a geologist to say that 100%
A quick google search says that the recipe was rediscovered in the 15th century, which is well beyond my time-frame of expertise, but I assuee you concrete was used between 476 and ~1400.
Ok, I'm not a historian, so I can't talk about when, the "opus caementicium" aka "Roman concrete" stopped being used, and I am loathe to rely upon wikipedia. However, I do have training as a geologist and material scientist, so I'd like to talk about what is meant, from material science perspective, by "Roman concrete" and how it is both similar to and different from modern construction aggregates based on the use of the "Portland cement".
A Brief Overview on the Composition and Properties of Concretes
What people today coloquially refer to as "concrete" is a litho-ceramic composite that is created by the selective mixing of three main ingredients:
Modern concretes may also use a variety of other additives to modifiy the physical and chemical properties of the resulting concrete: these include mineral and chemical "admixtures" and "reinforcements". The exact identity of these addtives and admixtures is largely beyond the scope of this discussion, but it's important to note that the Romans did use, reinforcements and mineral admixtures in their concrete, even though they probably didn't realize at the time what they were doing and why certain ingredients were important in determining the resulting structural chemical properties of the concrete they were creating.
Ok, now that the underlying science lesson is largely over with let's discuss the composition of original Roman concretes. Roman concretes were mainly in the category of modern concretes that use what is known as "pozzolan cement". This means that unlike modern portland cement, which is what most sidewalks are made of, the pozzolan cement used by the Romans had a much lower percentage of calcium oxides and calcium hydroxides (CaO and CaOH of +21% in modern portland cement vs CaO & CaOH of <12% in modern fly-ash cements), and much higher amounts of aluminum-silicate oxides (<5% in modern portland cement vs 15-30+% in modern pozzolan cements).
So the Romans were actually manfactuing what is even by modern standards a fairly sophsisticed geopolymer. But, here's the catch -- the Romans didn't actually understand what they were doing. They understood that they could create strong water-proof concretes if they used certain types of pozzolan (a kind of partially-weathered volcanic ash deposit) in their cements, but they didn't understand why what they were doing worked. Once access to particular localities that supplied the needed types of pozzolan were disrupted, the knowledge of how to make they sophisticated concrete mixtures was probably lost.