Medicaid Provider Spending

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

SHASTA FAMILY DENTAL

NPI: 1427574136 · KLAMATH FALLS, OR 97601 · 261QD0000X

$968.16

Total Medicaid Paid

1,424

Total Claims

1,394

Beneficiaries

9

Codes Billed

2018-07

First Month

2020-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	357	$527.16
2019	692	$441.00
2020	375	$0.00

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D9630		30	26	$913.50
D0150		466	459	$54.66
D0274		128	127	$0.00
D9986		88	85	$0.00
D1110		216	213	$0.00
D0220		90	86	$0.00
D0140		237	230	$0.00
D0120		30	30	$0.00
D0210		139	138	$0.00