Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› DENTAL DEPOT OF LEWISVILLE, PLLC
DENTAL DEPOT OF LEWISVILLE, PLLC
NPI: 1437767290 · LEWISVILLE, TX 75067 ·
1223G0001X
$29K
Total Medicaid Paid
2,148
Total Claims
1,892
Beneficiaries
11
Codes Billed
2022-03
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
314
$4K
2023
820
$11K
2024
1,014
$14K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
194
179
$6K
D0120
230
215
$6K
D1206
441
403
$5K
D1110
80
74
$4K
D0274
136
112
$2K
D0220
214
199
$2K
D1351
81
16
$2K
D0150
51
46
$1K
D0230
206
171
$1K
D0272
13
13
$210.42
D0603
502
464
$0.00