Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LICDENTALANDMEDICALCSP
NPI: 1164706297 · CANOVANAS, PR 00729 ·
1223G0001X
$52K
Total Medicaid Paid
2,931
Total Claims
2,391
Beneficiaries
10
Codes Billed
2018-03
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
496
$9K
2019
1,484
$27K
2020
125
$3K
2021
303
$5K
2022
227
$4K
2023
192
$3K
2024
104
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
412
369
$11K
D0330
322
261
$9K
D0150
428
361
$7K
D0272
475
412
$7K
D1999
459
377
$6K
D1208
317
254
$4K
D0120
243
209
$3K
D1120
139
108
$2K
D2140
61
28
$1K
D1351
75
12
$1K