Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › SOUTH OGDEN › MODERN DENTAL PROFESSIONALS UT, PC

MODERN DENTAL PROFESSIONALS UT, PC

NPI: 1265889166 · SOUTH OGDEN, UT 84403 · 122300000X

$22K
Total Medicaid Paid
400
Total Claims
369
Beneficiaries
8
Codes Billed
2018-11
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $1K
2019 212 $13K
2020 58 $5K
2024 116 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 155 155 $15K
D7210 38 12 $4K
D0274 63 63 $1K
D0220 57 52 $496.71
D0210 24 24 $343.86
D0120 13 13 $341.93
D0230 26 26 $273.45
D1206 24 24 $264.35