Medicaid Provider Spending

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

MARK R DOHERTY DDS PC

NPI: 1285147694 · PRYOR, OK 74361 · 261QD0000X

$2K

Total Medicaid Paid

127

Total Claims

127

Beneficiaries

3

Codes Billed

2018-01

First Month

2018-07

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	127	$2K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1208		80	80	$1K
D1110		17	17	$718.93
D0120		30	30	$592.20