Medicaid Provider Spending

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

SHINE PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC

NPI: 1194591875 · GALLATIN, TN 37066 · 1223X0400X

$23K

Total Medicaid Paid

744

Total Claims

645

Beneficiaries

11

Codes Billed

2024-09

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2024	744	$23K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		151	150	$5K
D2392		57	29	$4K
D1120		103	102	$3K
D1206		130	130	$3K
D1351		94	28	$3K
D0330		59	59	$2K
D0272		61	61	$1K
D9230		17	16	$481.72
D1110		17	17	$457.18
D0274		17	17	$413.33
D0220		38	36	$345.87