Medicaid Provider Spending

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

BLOOMINGTON SOUTHSIDE DENTAL CARE. LLC

NPI: 1437890290 · BLOOMINGTON, IN 47403 · 1223G0001X

$572K
Total Medicaid Paid
11,292
Total Claims
8,537
Beneficiaries
20
Codes Billed
2022-11
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,376 $39K
2023 5,883 $312K
2024 4,033 $221K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2335 720 268 $109K
D0330 1,389 1,252 $71K
D2393 672 410 $66K
D1110 1,177 1,077 $61K
D2394 423 244 $52K
D2392 590 358 $49K
D0140 990 897 $36K
D0150 930 829 $35K
D0210 1,079 753 $20K
D0274 701 605 $17K
D7210 88 16 $12K
D0120 474 440 $12K
D2391 156 99 $9K
D0160 148 133 $8K
D4346 31 26 $4K
D0220 793 639 $4K
D1206 218 205 $4K
D0230 622 223 $1K
D0350 34 33 $0.00
D3110 57 30 $0.00