Medicaid Provider Spending

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

CUSTOM SMILES DENTISTRY, PLLC

NPI: 1528678497 · ANDOVER, MN 55304 · 261QD0000X

$335K
Total Medicaid Paid
9,963
Total Claims
7,621
Beneficiaries
14
Codes Billed
2020-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 32 $712.88
2021 268 $5K
2022 2,397 $79K
2023 3,107 $101K
2024 4,159 $149K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 1,360 1,359 $40K
D0330 443 443 $39K
D1110 659 659 $38K
D0230 2,463 830 $34K
D0274 752 752 $32K
D1351 801 164 $30K
D0150 626 625 $28K
D1120 604 603 $23K
D0120 567 567 $21K
D0220 972 962 $17K
D0180 159 159 $15K
D1330 429 428 $14K
D0240 116 58 $4K
D0140 12 12 $473.37