Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SUNNYSIDE DENTISTRY FOR CHILDREN, P.C.
NPI: 1104156959 · CLACKAMAS, OR 97015 ·
Pediatric Dentist
$62K
Total Medicaid Paid
1,397
Total Claims
1,288
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-01
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
475
$13K
2019
858
$48K
2020
64
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D2392
144
59
$25K
D1120
292
291
$12K
D1206
346
344
$7K
D0120
268
268
$7K
D0272
159
155
$5K
D9230
136
119
$3K
D0150
12
12
$958.80
D0220
14
14
$328.85
D0230
13
13
$261.10
D0602
13
13
$143.00