Medicaid Provider Spending

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

KING SMILE DENTISTRY LLC

NPI: 1316311657 · HAPPY VALLEY, OR 97086 · 122300000X

$130K
Total Medicaid Paid
4,787
Total Claims
4,340
Beneficiaries
17
Codes Billed
2018-01
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,078 $60K
2019 2,175 $57K
2020 534 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 424 289 $21K
D1110 440 416 $17K
D1208 961 926 $15K
D0120 566 551 $14K
D0140 443 408 $14K
D0274 498 473 $9K
D0150 240 233 $8K
D2391 191 121 $7K
D0220 555 518 $6K
D7140 71 38 $6K
D0330 162 156 $5K
D1120 123 123 $3K
D4910 38 38 $2K
D4341 37 12 $2K
D0210 14 14 $760.00
D0272 12 12 $166.30
D0230 12 12 $89.00