Medicaid Provider Spending

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

ALL SMILES DENTAL OF ADA PC

NPI: 1457978546 · ADA, OK 74820 · 1223G0001X

$39K

Total Medicaid Paid

1,088

Total Claims

1,027

Beneficiaries

12

Codes Billed

2021-10

First Month

2023-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	54	$3K
2022	561	$20K
2023	473	$15K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D2393		70	42	$10K
D2392		76	44	$7K
D1120		212	212	$6K
D0120		222	222	$5K
D1208		200	200	$3K
D1110		38	38	$2K
D9230		61	60	$2K
D1206		72	72	$1K
D0330		25	25	$1K
D0150		28	28	$854.00
D0603		71	71	$649.65
D0220		13	13	$182.88