Medicaid Provider Spending

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

GORGEOUS SMILES DENTAL, PC

NPI: 1255027850 · MANCHESTER, CT 06042 · 1223G0001X

$116K
Total Medicaid Paid
5,861
Total Claims
3,919
Beneficiaries
15
Codes Billed
2023-05
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 442 $9K
2024 5,419 $107K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 1,094 832 $23K
D0150 548 432 $14K
D7210 875 194 $11K
D1110 369 331 $11K
D1120 313 257 $10K
D0330 554 310 $9K
D0120 413 352 $9K
D1206 456 405 $8K
D0220 839 516 $7K
D0210 107 98 $4K
D7230 43 12 $3K
D0274 92 85 $3K
D0160 116 69 $2K
D9230 30 14 $470.20
D0270 12 12 $81.90