Medicaid Provider Spending

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

DOSSANTOS, VIRGINIA

NPI: 1558390930 · PORT JEFFERSON STATION, NY 11776 · 122300000X

$3K

Total Medicaid Paid

117

Total Claims

117

Beneficiaries

5

Codes Billed

2019-10

First Month

2023-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2019	65	$1K
2021	27	$865.73
2022	13	$322.90
2023	12	$314.24

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0120		55	55	$1K
D1110		24	24	$1K
D0274		12	12	$272.12
D0220		12	12	$131.36
D0230		14	14	$77.62