Medicaid Provider Spending

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

DC DENTAL, LLC

NPI: 1447487632 · GOODYEAR, AZ 85338 · 1223G0001X

$990.22

Total Medicaid Paid

54

Total Claims

54

Beneficiaries

4

Codes Billed

2018-03

First Month

2018-06

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	54	$990.22

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1120		14	14	$462.70
D0120		14	14	$309.68
D1208		14	14	$217.84
D0150		12	12	$0.00