Medicaid Provider Spending

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

PERFECT TEETH - SOUTH HOLLY STREET P.C.

NPI: 1558482034 · CENTENNIAL, CO 80122 · 1223G0001X

$6K
Total Medicaid Paid
75
Total Claims
55
Beneficiaries
4
Codes Billed
2023-08
First Month
2023-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 75 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 24 12 $3K
D2391 20 12 $2K
D0150 19 19 $804.97
D1110 12 12 $561.92