Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FRUITLAND
› CHILDRENS DENTISTRY OF FRUITLAND
CHILDRENS DENTISTRY OF FRUITLAND
NPI: 1619634250 · FRUITLAND, ID 83619 ·
1223P0221X
$233K
Total Medicaid Paid
10,640
Total Claims
9,744
Beneficiaries
13
Codes Billed
2022-04
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
3,783
$87K
2023
4,842
$106K
2024
2,015
$41K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
2,218
2,181
$79K
D0120
1,784
1,762
$46K
D1208
2,083
2,047
$35K
D0220
1,426
1,391
$17K
D0272
894
880
$14K
D0230
1,430
852
$12K
D9230
315
301
$8K
D0150
159
159
$6K
D2930
55
28
$5K
D2392
66
40
$5K
D1351
152
45
$4K
D0140
44
44
$2K
D0330
14
14
$501.00