Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › SOUTH JORDAN › SOUTHRIDGE PEDIATRIC DENTISTRY

SOUTHRIDGE PEDIATRIC DENTISTRY

NPI: 1225249683 · SOUTH JORDAN, UT 84095 · 122300000X

$147K
Total Medicaid Paid
3,563
Total Claims
3,481
Beneficiaries
9
Codes Billed
2021-06
First Month
2023-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,354 $55K
2022 2,115 $88K
2023 94 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 931 931 $106K
D0272 614 611 $26K
D2150 125 61 $7K
D2140 22 12 $3K
D1120 874 871 $3K
D0150 16 16 $1K
D1206 893 891 $1K
D0274 76 76 $0.00
D1208 12 12 $0.00