Medicaid Provider Spending

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

ST MOISES DENTAL

NPI: 1285899443 · POMONA, CA 91766 · 1223G0001X

$320K
Total Medicaid Paid
17,536
Total Claims
9,651
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,201 $41K
2019 76 $709.20
2020 249 $5K
2021 3,440 $57K
2022 3,299 $67K
2023 3,803 $81K
2024 3,468 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 1,617 1,608 $95K
D1120 1,210 1,203 $50K
D0230 9,402 1,914 $37K
D1110 346 345 $29K
D0274 1,096 1,094 $23K
D1208 1,834 1,818 $22K
D0150 319 318 $19K
D2751 26 16 $12K
D0210 250 249 $11K
D9430 236 236 $7K
D0220 562 557 $7K
D0350 582 256 $4K
D2391 41 25 $2K
D2392 15 12 $1K