Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › POCATELLO › VALLEY DENTAL PA

VALLEY DENTAL PA

NPI: 1114067105 · POCATELLO, ID 83201 · 1223P0221X

$18K
Total Medicaid Paid
1,107
Total Claims
930
Beneficiaries
9
Codes Billed
2020-07
First Month
2020-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,107 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 142 142 $13K
D1110 40 40 $5K
D0220 113 113 $9.22
D1208 176 176 $0.00
D1351 136 32 $0.00
D0120 171 171 $0.00
D0272 118 118 $0.00
D0230 169 96 $0.00
D0274 42 42 $0.00