Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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AFFORDABLE SMILES OF MANDEVILLE, LLC
NPI: 1407514649 · MANDEVILLE, LA 70448 ·
1223G0001X
$17K
Total Medicaid Paid
445
Total Claims
407
Beneficiaries
7
Codes Billed
2022-06
First Month
2024-07
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
222
$9K
2023
135
$5K
2024
88
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0150
166
150
$7K
D1110
101
93
$5K
D0210
47
47
$3K
D0120
72
64
$2K
D1208
29
27
$670.80
D0272
16
14
$266.10
D0220
14
12
$84.45