Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › DRAPER › OUT OF THIS WORLD DENTISTRY PC

OUT OF THIS WORLD DENTISTRY PC

NPI: 1558760959 · DRAPER, UT 84020 · 1223P0221X

$225K
Total Medicaid Paid
8,362
Total Claims
8,135
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 280 $8K
2019 739 $21K
2020 497 $19K
2021 1,751 $49K
2022 2,332 $60K
2023 1,608 $39K
2024 1,155 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 1,820 1,803 $162K
D1120 1,704 1,696 $21K
D1206 1,846 1,835 $12K
D0220 1,023 1,010 $8K
D0272 756 751 $7K
D0230 1,008 874 $6K
D2392 53 26 $4K
D2150 27 15 $2K
D0150 12 12 $1K
D0274 85 85 $1K
D1110 28 28 $0.00