Medicaid Provider Spending

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

FIRST AVENUE DENTAL, P.A.

NPI: 1275199168 · LIBERAL, KS 67901 · 1223G0001X

$207K
Total Medicaid Paid
7,278
Total Claims
6,660
Beneficiaries
15
Codes Billed
2020-09
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 280 $5K
2021 1,620 $31K
2022 982 $13K
2023 1,808 $50K
2024 2,588 $107K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 1,954 1,909 $48K
D1120 1,106 1,085 $47K
D0120 1,217 1,196 $37K
D2930 75 12 $13K
D0150 267 246 $10K
D0274 268 252 $10K
D3220 116 12 $10K
D1110 164 160 $9K
D0330 137 135 $9K
D1351 228 26 $8K
D0272 110 107 $3K
D9230 45 41 $2K
D0140 13 13 $504.00
D0220 16 16 $296.80
D1999 1,562 1,450 $0.00