Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › SAPULPA › COMFORT DENTAL OF SAPULPA PLLC

COMFORT DENTAL OF SAPULPA PLLC

NPI: 1063694883 · SAPULPA, OK 74066 · 1223G0001X

$11K
Total Medicaid Paid
539
Total Claims
539
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 539 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 189 189 $3K
D1120 120 120 $3K
D1208 160 160 $2K
D0330 25 25 $1K
D1110 13 13 $507.48
D0274 20 20 $479.40
D0140 12 12 $310.20