Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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KOU DENTAL, LLC
NPI: 1346712940 · SCHERERVILLE, IN 46375 ·
General Practice Dentistry
· NPI assigned 12/20/2018
$27K
Total Medicaid Paid
730
Total Claims
668
Beneficiaries
7
Codes Billed
2022-09
First Month
2024-11
Last Month
Provider Details
Authorized Official
KOU, KEITH
(DENTIST)
NPI Enumeration Date
12/20/2018
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
34
$2K
2023
316
$11K
2024
380
$13K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
307
297
$18K
D0120
184
178
$5K
D0220
109
95
$1K
D0150
30
30
$1K
D0230
44
40
$601.22
D1206
13
13
$344.24
D0210
43
15
$340.77