Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WY › ROCK SPRINGS › WHITE MOUNTAIN DENTAL

WHITE MOUNTAIN DENTAL

NPI: 1497988356 · ROCK SPRINGS, WY 82901 · 1223G0001X

$291K
Total Medicaid Paid
8,667
Total Claims
7,703
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,426 $54K
2019 1,137 $42K
2020 628 $19K
2021 783 $19K
2022 1,670 $51K
2023 1,851 $58K
2024 1,172 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 1,545 1,435 $74K
D0120 2,116 2,013 $66K
D0274 1,799 1,685 $47K
D2392 409 191 $36K
D1206 1,282 1,211 $32K
D0220 677 623 $10K
D0140 190 177 $8K
D1120 160 155 $5K
D2391 69 47 $5K
D0230 316 62 $5K
D0150 89 89 $3K
D1330 15 15 $170.66