Medicaid Provider Spending

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

SUPER TOOTH PEDIATRIC DENTISTRY

NPI: 1104500743 · EAST NORRITON, PA 19401 · 1223P0221X

$29K
Total Medicaid Paid
1,362
Total Claims
1,229
Beneficiaries
14
Codes Billed
2024-08
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,362 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 42 29 $6K
D1120 201 186 $5K
D1206 215 199 $4K
D2392 36 28 $4K
D0150 122 113 $3K
D9230 71 50 $2K
D0274 35 32 $1K
D1310 204 190 $940.00
D1330 204 190 $940.00
D0601 91 85 $834.00
D0603 67 62 $580.00
D0220 48 40 $427.88
D0240 12 12 $316.80
D0145 14 13 $312.00