Medicaid Provider Spending

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

WILLOW DENTAL BELLEVUE, LLC

NPI: 1366217051 · BELLEVUE, NE 68147 · 1223G0001X

$23K

Total Medicaid Paid

1,150

Total Claims

621

Beneficiaries

9

Codes Billed

2024-03

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2024	1,150	$23K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D2392		93	40	$9K
D2393		32	20	$4K
D0150		107	106	$3K
D0330		90	90	$3K
D1110		40	40	$2K
D0274		77	77	$1K
D0230		568	105	$1K
D1206		36	36	$948.16
D0220		107	107	$380.29