Medicaid Provider Spending

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

DENTISTRY AT THE ST. CHARLES LLC

NPI: 1417180969 · PIERRE, SD 57501 · 122300000X

$66K
Total Medicaid Paid
2,242
Total Claims
2,221
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 239 $7K
2019 387 $11K
2020 133 $4K
2021 426 $12K
2022 494 $16K
2023 296 $6K
2024 267 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 956 949 $22K
D0120 693 686 $20K
D1120 319 313 $12K
D1110 141 141 $8K
D0274 95 95 $3K
D0150 24 24 $887.74
D9230 14 13 $507.63