Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
WY
›
CODY
› CODY DENTAL EXCELLENCE
CODY DENTAL EXCELLENCE
NPI: 1154696409 · CODY, WY 82414 ·
1223G0001X
$121K
Total Medicaid Paid
3,269
Total Claims
3,177
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
344
$12K
2019
184
$6K
2020
217
$8K
2021
386
$12K
2022
621
$21K
2023
788
$32K
2024
729
$30K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
1,238
1,207
$41K
D1110
568
541
$29K
D1206
687
679
$24K
D1120
407
401
$15K
D0274
204
197
$7K
D0330
47
44
$2K
D0272
60
58
$2K
D2391
17
12
$1K
D0150
41
38
$1K