Medicaid Provider Spending

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

UTAH WISDOM TEETH, LLC

NPI: 1568974434 · SANDY, UT 84094 · 1223S0112X

$6K

Total Medicaid Paid

28

Total Claims

24

Beneficiaries

2

Codes Billed

2018-07

First Month

2018-07

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	28	$6K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		14	12	$6K
D0330		14	12	$0.00