Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WY › LANDER › MOUNTAIN DENTAL PC

MOUNTAIN DENTAL PC

NPI: 1366596033 · LANDER, WY 82520 · 261QD0000X

$104K
Total Medicaid Paid
2,701
Total Claims
2,474
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 566 $27K
2019 272 $10K
2020 292 $9K
2021 315 $11K
2022 469 $21K
2023 552 $17K
2024 235 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 798 753 $24K
D1120 589 581 $19K
D2392 208 142 $19K
D1206 439 424 $13K
D1110 212 197 $11K
D2930 55 12 $7K
D0274 189 177 $6K
D2391 44 33 $3K
D1330 141 129 $952.50
D0272 12 12 $280.80
D1208 14 14 $280.00