Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ROCKY MOUNTAIN FAMILY DENTAL
NPI: 1629483813 · CODY, WY 82414 ·
122300000X
$85K
Total Medicaid Paid
2,687
Total Claims
2,522
Beneficiaries
12
Codes Billed
2019-01
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
103
$3K
2020
116
$4K
2021
236
$7K
2022
902
$26K
2023
882
$30K
2024
448
$16K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
764
737
$25K
D1206
804
770
$22K
D1120
515
499
$18K
D1110
192
183
$9K
D0274
99
93
$3K
D0150
70
69
$2K
D4999
132
95
$2K
D2391
16
12
$2K
D1351
41
12
$1K
D0330
16
15
$760.50
D0220
25
24
$365.78
D0272
13
13
$257.40