Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› SAGE DENTISTRY IV PLLC
SAGE DENTISTRY IV PLLC
NPI: 1154869121 · LAFAYETTE, CO 80026 ·
1223G0001X
$75K
Total Medicaid Paid
1,778
Total Claims
1,715
Beneficiaries
8
Codes Billed
2018-01
First Month
2022-04
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
144
$5K
2019
209
$7K
2020
258
$12K
2021
762
$33K
2022
405
$17K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
646
642
$26K
D2392
123
70
$16K
D0150
329
329
$13K
D0210
116
115
$8K
D0120
333
330
$7K
D0220
145
143
$2K
D0230
57
57
$1K
D0274
29
29
$855.36