Medicaid Provider Spending

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

JUST CLEAN SMILES, LLC

NPI: 1609176965 · LOS LUNAS, NM 87031 · 122300000X

$170K

Total Medicaid Paid

8,246

Total Claims

7,337

Beneficiaries

10

Codes Billed

2018-01

First Month

2024-07

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	2,359	$43K
2019	1,589	$33K
2020	1,217	$27K
2021	1,432	$32K
2022	898	$19K
2023	472	$10K
2024	279	$6K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		1,046	1,007	$35K
D1110		858	826	$34K
D0274		1,147	1,117	$32K
D1208		1,449	1,408	$25K
D0230		2,091	1,391	$23K
D0220		1,552	1,488	$17K
D1120		58	58	$2K
D4346		13	13	$2K
D2391		15	12	$809.47
D0120		17	17	$371.11