Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › BURLEY › EVANS DENTAL PA

EVANS DENTAL PA

NPI: 1205306941 · BURLEY, ID 83318 · 261QD0000X

$21K
Total Medicaid Paid
1,031
Total Claims
1,031
Beneficiaries
8
Codes Billed
2019-07
First Month
2023-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $417.21
2020 431 $8K
2021 341 $6K
2022 218 $5K
2023 29 $895.56

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 240 240 $18K
D0150 127 127 $3K
D0140 56 56 $443.16
D0274 82 82 $60.47
D0120 112 112 $19.24
D0220 133 133 $0.00
D0230 35 35 $0.00
D1208 246 246 $0.00