Medicaid Provider Spending

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

MICHAEL SU DENTAL CORP

NPI: 1205243854 · ALHAMBRA, CA 91801 · 261QD0000X

$174K

Total Medicaid Paid

5,566

Total Claims

4,475

Beneficiaries

10

Codes Billed

2018-01

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	1,359	$36K
2019	841	$28K
2020	679	$22K
2021	973	$36K
2022	727	$25K
2023	588	$16K
2024	399	$12K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		828	822	$68K
D0120		520	518	$29K
D0150		378	378	$21K
D1208		1,311	1,304	$17K
D0210		279	279	$12K
D0350		847	324	$7K
D0274		292	291	$6K
D2392		81	41	$5K
D0230		983	505	$4K
D2391		47	13	$3K