Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PRAIRIE ROSE FAMILY DENTISTS
NPI: 1144391632 · BISMARCK, ND 58504 ·
122300000X
$109K
Total Medicaid Paid
2,811
Total Claims
2,481
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
2,684
$103K
2019
32
$1K
2021
17
$721.26
2022
29
$1K
2023
25
$1K
2024
24
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
572
548
$21K
D2392
165
99
$19K
D1206
500
484
$11K
D0150
282
263
$10K
D1110
183
167
$8K
D0120
333
328
$8K
D9230
284
234
$7K
D2391
68
41
$6K
D0272
192
181
$5K
D2930
25
12
$4K
D1351
115
40
$4K
D0330
46
44
$3K
D7140
32
27
$3K
D0220
14
13
$238.20