Medicaid Provider Spending

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

PEDIATRIC DENTISTRY OF SALEM LLC

NPI: 1184831083 · SALEM, OR 97302 · 1223P0221X

$711K
Total Medicaid Paid
12,303
Total Claims
11,566
Beneficiaries
20
Codes Billed
2018-01
First Month
2022-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,489 $212K
2019 3,221 $196K
2020 2,570 $122K
2021 2,982 $178K
2022 41 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 2,471 2,427 $155K
D0120 2,500 2,478 $134K
D1208 3,231 3,178 $116K
D2930 306 90 $63K
D1110 689 682 $54K
D0272 1,255 1,228 $49K
D2150 283 131 $37K
D2392 93 52 $21K
D0140 269 262 $19K
D0220 394 373 $10K
D9420 41 38 $10K
D3220 54 25 $9K
D0150 93 93 $8K
D2391 44 26 $7K
D2140 59 27 $7K
D0230 243 193 $5K
D7140 24 15 $3K
D1999 228 223 $1K
D9230 14 13 $1K
D0274 12 12 $799.20