Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WATFORD CITY
› LEGENDARY SMILES, P.C.
LEGENDARY SMILES, P.C.
NPI: 1023463320 · WATFORD CITY, ND 58854 ·
261QD0000X
$13K
Total Medicaid Paid
470
Total Claims
431
Beneficiaries
4
Codes Billed
2018-03
First Month
2024-02
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
64
$2K
2019
64
$2K
2020
17
$316.08
2021
99
$3K
2022
146
$4K
2023
67
$2K
2024
13
$432.25
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
192
175
$5K
D1206
209
190
$5K
D1120
55
52
$2K
D0150
14
14
$627.39