Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KATSUR DENTAL OF ARIZONA, INC.

NPI: 1174771612 · GOODYEAR, AZ 85338 · 1223G0001X

$2K
Total Medicaid Paid
143
Total Claims
141
Beneficiaries
6
Codes Billed
2018-03
First Month
2020-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $884.93
2019 28 $451.23
2020 32 $369.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 60 58 $567.22
D0120 29 29 $398.06
D0330 12 12 $325.00
D0150 12 12 $186.23
D1120 16 16 $163.31
D1208 14 14 $65.94