Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› SAMBATH KEO, DMD, INC
SAMBATH KEO, DMD, INC
NPI: 1366614174 · LOWELL, MA 01851 ·
1223G0001X
$109K
Total Medicaid Paid
3,781
Total Claims
3,652
Beneficiaries
12
Codes Billed
2018-01
First Month
2020-03
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
2,095
$61K
2019
1,379
$40K
2020
307
$9K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
723
721
$38K
D0120
755
753
$18K
D0220
748
730
$12K
D0272
448
446
$11K
D0230
549
501
$7K
D0140
145
141
$6K
D1208
182
181
$5K
D2391
59
26
$4K
D9110
89
89
$4K
D2392
43
24
$3K
D0150
28
28
$1K
D1120
12
12
$612.00