Medicaid Provider Spending

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

PELAEZ, MAGNOLIA

NPI: 1245293984 · ATLANTIC CITY, NJ 08401 · 1223G0001X

$2K

Total Medicaid Paid

114

Total Claims

114

Beneficiaries

4

Codes Billed

2018-04

First Month

2018-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	114	$2K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0140		46	46	$795.00
D0330		38	38	$520.00
D1110		18	18	$240.00
D0120		12	12	$175.00