Medicaid Provider Spending

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

WEST JORDAN MODERN DENTISTRY , LLP

NPI: 1508134412 · WEST JORDAN, UT 84084 · 1223G0001X

$4K
Total Medicaid Paid
251
Total Claims
250
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 251 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0272 33 33 $2K
D1120 68 68 $1K
D0120 34 33 $111.88
D1330 50 50 $0.00
D1206 66 66 $0.00