COEUR D ALENE DENTURE CLINIC
NPI: 1558406405
· COEUR D ALENE, ID 83814
· 122400000X
$641K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
188 |
$78K |
| 2019 |
144 |
$55K |
| 2020 |
181 |
$83K |
| 2021 |
275 |
$106K |
| 2022 |
305 |
$131K |
| 2023 |
214 |
$104K |
| 2024 |
170 |
$83K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D5120 |
|
491 |
490 |
$458K |
| D5110 |
|
986 |
985 |
$183K |