Medicaid Provider Spending

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

NOMI SO-LEE DENTAL INC

NPI: 1407224884 · REDLANDS, CA 92373 · 261QD0000X

$130K
Total Medicaid Paid
4,947
Total Claims
3,025
Beneficiaries
14
Codes Billed
2018-06
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,272 $55K
2019 468 $22K
2020 227 $6K
2021 429 $8K
2022 517 $7K
2023 1,288 $18K
2024 746 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 484 484 $31K
D1110 265 265 $24K
D1208 1,015 1,013 $14K
D2392 197 101 $13K
D0210 275 275 $13K
D0230 1,896 317 $8K
D7210 55 35 $7K
D1120 159 159 $6K
D2391 81 48 $4K
D0350 321 135 $4K
D0274 136 136 $3K
D2393 25 19 $2K
D0120 25 25 $2K
D0330 13 13 $390.00