Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SOUTH SAN FRANCISCO
› PURE SMILE DENTAL GROUP
PURE SMILE DENTAL GROUP
NPI: 1609141274 · SOUTH SAN FRANCISCO, CA 94080 ·
261QD0000X
$41K
Total Medicaid Paid
634
Total Claims
541
Beneficiaries
9
Codes Billed
2024-05
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2024
634
$41K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
81
81
$8K
D0150
101
101
$7K
D1999
84
81
$7K
D4341
77
24
$7K
D0210
91
91
$5K
D2392
61
24
$5K
D1206
63
63
$1K
D1208
14
14
$265.10
D0350
62
62
$0.00