Medicaid Provider Spending

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

Y.A.SATYARAHARDJA DDS.INC.

NPI: 1508296450 · WEST COVINA, CA 91791 · Dentist

$8K
Total Medicaid Paid
221
Total Claims
221
Beneficiaries
5
Codes Billed
2020-08
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 25 $966.00
2021 40 $1K
2022 14 $215.50
2023 92 $4K
2024 50 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 36 36 $2K
D0210 39 39 $2K
D1208 122 122 $2K
D1110 12 12 $1K
D0120 12 12 $870.00