Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ANDREW STODDARD DENTAL SERVICES, PLLC

NPI: 1346501657 · POCATELLO, ID 83201 · Dental Clinic/Center · NPI assigned 06/04/2012

$39K
Total Medicaid Paid
2,045
Total Claims
2,014
Beneficiaries
10
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialSTODDARD, ANDREW (SOLE MEMBER)
NPI Enumeration Date06/04/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 396 $8K
2019 359 $7K
2020 286 $5K
2021 412 $7K
2022 541 $12K
2023 51 $943.99

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 572 571 $34K
D1120 66 65 $3K
D2392 45 27 $2K
D0120 1,062 1,059 $142.54
D0274 80 80 $129.57
D0220 113 110 $0.00
D1999 16 16 $0.00
D1206 59 59 $0.00
D0272 14 14 $0.00
D0230 18 13 $0.00