Medicaid Provider Spending

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

DIAMOND G DENTAL LLC

NPI: 1205291242 · KEMMERER, WY 83101 · 1223G0001X

$416.00

Total Medicaid Paid

13

Total Claims

13

Beneficiaries

1

Codes Billed

2019-07

First Month

2019-07

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2019	13	$416.00

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0120		13	13	$416.00