Medicaid Provider Spending

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

CLETUS A FONMEDIG DDS LLC

NPI: 1528807708 · ROSEDALE, MD 21237 · 1223G0001X

$13K

Total Medicaid Paid

305

Total Claims

305

Beneficiaries

6

Codes Billed

2024-07

First Month

2024-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2024	305	$13K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		81	81	$5K
D0150		43	43	$2K
D1208		80	80	$2K
D0120		41	41	$1K
D0330		27	27	$1K
D0274		33	33	$794.31