Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WEST COAST SMILES PSC
NPI: 1194059261 · AGUADILLA, PR 00603 ·
122300000X
$17K
Total Medicaid Paid
1,188
Total Claims
1,029
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-04
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
832
$12K
2021
108
$2K
2022
59
$949.52
2023
74
$1K
2024
115
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
301
266
$6K
D1999
232
186
$3K
D0120
251
210
$2K
D0272
183
169
$2K
D0330
83
73
$2K
D1208
72
63
$769.50
D0150
51
47
$577.80
D1120
15
15
$243.00