Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › EDMOND › NEW IMAGE DENTISTRY, PC

NEW IMAGE DENTISTRY, PC

NPI: 1568630648 · EDMOND, OK 73013 · 122300000X

$21K
Total Medicaid Paid
474
Total Claims
430
Beneficiaries
8
Codes Billed
2022-03
First Month
2024-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 142 $9K
2023 320 $12K
2024 12 $521.55

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2393 81 37 $11K
D1110 108 108 $5K
D0274 64 64 $2K
D0120 85 85 $2K
D0220 53 53 $764.72
D0150 27 27 $748.34
D1208 44 44 $655.32
D0330 12 12 $502.59