Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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RIO RANCHO
› SUMMIT FAMILY DENTAL OF BERNALILLO, LLC
SUMMIT FAMILY DENTAL OF BERNALILLO, LLC
NPI: 1346833878 · RIO RANCHO, NM 87144 ·
261QD0000X
$17K
Total Medicaid Paid
644
Total Claims
635
Beneficiaries
9
Codes Billed
2021-07
First Month
2024-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
227
$7K
2022
314
$8K
2023
78
$2K
2024
25
$266.77
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
122
122
$4K
D0274
113
113
$3K
D0150
66
66
$2K
D1206
109
109
$2K
D1120
57
57
$2K
D0120
57
56
$1K
D2391
20
12
$989.56
D0220
59
59
$588.75
D0230
41
41
$354.33