Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › POCATELLO › CARE CREEK DENTAL LLC

CARE CREEK DENTAL LLC

NPI: 1326281163 · POCATELLO, ID 83201 · 1223G0001X

$21K
Total Medicaid Paid
1,307
Total Claims
1,298
Beneficiaries
10
Codes Billed
2022-06
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 312 $4K
2023 648 $11K
2024 347 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 188 188 $14K
D0210 53 53 $4K
D0150 58 58 $853.12
D0140 156 156 $850.15
D0274 227 227 $757.10
D0220 360 353 $92.05
D0120 66 66 $19.24
D0330 12 12 $0.00
D0230 127 125 $0.00
D1208 60 60 $0.00