Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
UT
›
PROVO
› WISDOM TEETH ONLY
WISDOM TEETH ONLY
NPI: 1528518909 · PROVO, UT 84604 ·
122300000X
$6K
Total Medicaid Paid
63
Total Claims
51
Beneficiaries
1
Codes Billed
2020-08
First Month
2022-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
26
$3K
2021
20
$1K
2022
17
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
00170
63
51
$6K