Medicaid Provider Spending

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

MAIN STREET DENTAL OF SALT LAKE CITY

NPI: 1245607068 · SALT LAKE CITY, UT 84115 · 305S00000X

$78K
Total Medicaid Paid
1,671
Total Claims
1,238
Beneficiaries
7
Codes Billed
2021-02
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 380 $16K
2022 786 $38K
2023 337 $18K
2024 168 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 580 233 $38K
D0140 455 419 $26K
D0220 468 431 $8K
D0150 49 47 $5K
D0274 87 83 $870.03
D7922 17 12 $380.00
D1110 15 13 $105.08