Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › YORK › COUNTRYSIDE PEDIATRIC DENTISTRY

COUNTRYSIDE PEDIATRIC DENTISTRY

NPI: 1336986447 · YORK, NE 68467 · 261QD0000X

$18K
Total Medicaid Paid
615
Total Claims
522
Beneficiaries
10
Codes Billed
2024-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 615 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 109 109 $3K
D1120 97 97 $3K
D2391 38 19 $3K
D1206 109 109 $3K
D2392 24 14 $2K
D9230 47 35 $2K
D0272 47 47 $739.20
D0230 81 29 $418.50
D0220 48 48 $373.06
D0274 15 15 $360.08