Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› EAST VICTORY DRIVE DENTAL GROUP, LLC
EAST VICTORY DRIVE DENTAL GROUP, LLC
NPI: 1497205637 · SAVANNAH, GA 31404 ·
1223G0001X
$30K
Total Medicaid Paid
1,416
Total Claims
1,415
Beneficiaries
9
Codes Billed
2018-01
First Month
2023-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
447
$9K
2019
267
$6K
2020
230
$5K
2021
153
$4K
2022
147
$3K
2023
172
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
495
495
$11K
D1208
292
292
$5K
D1206
281
281
$5K
D1120
107
107
$4K
D1110
41
41
$2K
D0274
54
54
$1K
D0272
51
51
$951.85
D0230
52
52
$564.07
D0220
43
42
$556.45