Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› KETCHERSIDE DENTAL CORPORATION
KETCHERSIDE DENTAL CORPORATION
NPI: 1629557517 · CORONA, CA 92879 ·
1223X0400X
$41K
Total Medicaid Paid
909
Total Claims
871
Beneficiaries
7
Codes Billed
2022-07
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
36
$2K
2023
170
$10K
2024
703
$30K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0150
312
312
$20K
D0210
243
242
$12K
D1120
110
110
$6K
D1208
126
126
$2K
D1110
12
12
$1K
D9430
13
13
$416.00
D0230
93
56
$376.65