Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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RIVERSIDE DENTAL PLLC
NPI: 1609302231 · GRAND FORKS, ND 58201 ·
122300000X
$75K
Total Medicaid Paid
2,590
Total Claims
2,138
Beneficiaries
14
Codes Billed
2019-12
First Month
2020-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
278
$6K
2020
2,312
$68K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
574
458
$13K
D1208
520
463
$12K
D1110
277
234
$11K
D2392
96
55
$10K
D2391
100
57
$9K
D1120
245
196
$8K
D0330
41
41
$3K
D0274
72
57
$2K
D0272
88
76
$2K
D9110
38
35
$2K
D0210
16
16
$1K
D0220
95
72
$1K
D0140
31
28
$225.05
D1999
397
350
$0.00