Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› EAST 111 FAMILY DENTISTRY PLLC
EAST 111 FAMILY DENTISTRY PLLC
NPI: 1649881582 · BIXBY, OK 74008 ·
1223G0001X
$81K
Total Medicaid Paid
3,050
Total Claims
2,939
Beneficiaries
12
Codes Billed
2021-10
First Month
2023-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
271
$5K
2022
1,632
$51K
2023
1,147
$25K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
513
513
$20K
D0120
932
932
$17K
D2392
158
88
$14K
D1206
427
427
$6K
D0274
214
214
$6K
D2393
45
27
$5K
D1120
198
198
$5K
D0220
284
278
$4K
D1208
167
167
$2K
D0140
27
27
$695.89
D0230
73
56
$450.54
D0272
12
12
$183.00