Medicaid Provider Spending

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

ELSABET TEKLE DDS LLC

NPI: 1336927169 · SILVER SPRING, MD 20904 · 1223G0001X

$190K

Total Medicaid Paid

2,961

Total Claims

2,279

Beneficiaries

14

Codes Billed

2023-11

First Month

2024-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2023	385	$21K
2024	2,576	$169K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D2391		566	153	$60K
D2392		379	162	$52K
D1110		300	300	$20K
D0120		424	424	$13K
D0140		260	255	$12K
D1120		190	190	$9K
D1206		333	333	$9K
D2393		18	13	$3K
D3120		82	42	$3K
D0210		41	41	$2K
D0220		196	194	$2K
D0274		52	52	$1K
D0230		106	106	$839.68
D0150		14	14	$788.76