Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PREMIERE DENTISTRY OF TAHLEQUAH
NPI: 1245299825 · TAHLEQUAH, OK 74464 ·
1223G0001X
$15K
Total Medicaid Paid
598
Total Claims
586
Beneficiaries
9
Codes Billed
2021-11
First Month
2021-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
598
$15K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
155
155
$3K
D1120
94
94
$3K
D1110
60
60
$3K
D1208
167
167
$2K
D2392
21
13
$2K
D2391
15
12
$914.70
D0220
41
41
$624.84
D0272
31
31
$530.70
D9230
14
13
$384.16