Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WINNER DENTAL CLINIC, PROF. LLC
NPI: 1609483015 · WINNER, SD 57580 ·
261QD0000X
$110K
Total Medicaid Paid
3,201
Total Claims
3,123
Beneficiaries
10
Codes Billed
2020-12
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
107
$4K
2021
1,411
$53K
2022
783
$24K
2023
461
$12K
2024
439
$17K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
1,026
1,016
$29K
D1110
496
493
$25K
D1206
958
949
$22K
D1120
383
383
$14K
D2392
90
43
$8K
D0274
170
168
$6K
D2391
25
18
$2K
D0150
27
27
$1K
D0210
13
13
$1K
D0220
13
13
$222.95