Medicaid Provider Spending

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

LAKES MALL DENTAL CENTER , PA

NPI: 1063757912 · PEMBROKE PINES, FL 33026 · 1223G0001X

$75K

Total Medicaid Paid

4,487

Total Claims

4,268

Beneficiaries

13

Codes Billed

2019-12

First Month

2022-07

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2019	13	$0.00
2020	1,792	$29K
2021	359	$6K
2022	2,323	$40K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0120		480	473	$26K
D0150		466	454	$24K
D1110		618	606	$8K
D0210		401	393	$3K
D2392		88	42	$3K
D0230		662	580	$3K
D1206		344	341	$2K
D2391		55	26	$1K
D0140		70	67	$996.69
D0220		653	639	$803.02
D0274		336	335	$575.00
D1120		99	98	$481.00
D1330		215	214	$327.38