Medicaid Provider Spending

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

KTAM DDS DENTAL CORP

NPI: 1609181858 · SANTA MARIA, CA 93454 · 1223P0221X

$83K

Total Medicaid Paid

4,442

Total Claims

3,718

Beneficiaries

8

Codes Billed

2018-01

First Month

2022-08

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	1,688	$26K
2019	1,156	$21K
2020	616	$11K
2021	604	$11K
2022	378	$13K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0120		832	832	$37K
D1120		820	820	$26K
D1208		758	758	$7K
D0230		1,541	817	$7K
D0274		256	256	$5K
D0272		86	86	$946.00
D0603		46	46	$0.00
D0602		103	103	$0.00