Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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GAITHERSBURG
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SUPERTOOTH INC
NPI: 1588207914 · GAITHERSBURG, MD 20878 ·
1223G0001X
$129K
Total Medicaid Paid
3,156
Total Claims
2,617
Beneficiaries
12
Codes Billed
2023-01
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
1,455
$58K
2024
1,701
$71K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
532
523
$34K
D0140
433
402
$20K
D3120
544
229
$19K
D2392
116
70
$16K
D0150
176
167
$9K
D0210
147
143
$8K
D0120
241
241
$8K
D0220
593
494
$7K
D0274
143
136
$3K
D0330
75
67
$3K
D1206
75
72
$2K
D0230
81
73
$872.48