Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › GOLDENDALE › LARGE, KENT

LARGE, KENT

NPI: 1285154435 · GOLDENDALE, WA 98620 · 122300000X

$102K
Total Medicaid Paid
5,129
Total Claims
4,304
Beneficiaries
13
Codes Billed
2018-07
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 166 $2K
2019 293 $5K
2020 112 $2K
2021 126 $2K
2022 707 $12K
2023 1,689 $38K
2024 2,036 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 802 721 $20K
D1206 1,031 925 $19K
D1120 741 664 $16K
D2392 260 97 $14K
D0150 318 269 $11K
D1110 205 179 $8K
D0220 774 644 $6K
D2391 78 50 $4K
D0272 168 127 $1K
D0230 582 488 $1K
D0274 92 66 $916.68
D1208 66 62 $761.99
D0140 12 12 $331.20