Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SD PARK LAKE PLLC
NPI: 1164111241 · WACO, TX 76708 ·
1223G0001X
$2K
Total Medicaid Paid
205
Total Claims
159
Beneficiaries
7
Codes Billed
2024-01
First Month
2024-07
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2024
205
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0330
28
25
$745.07
D0150
17
16
$536.84
D1208
25
24
$333.69
D0230
65
27
$242.09
D0274
13
13
$222.77
D0220
29
29
$157.26
D0603
28
25
$0.01