Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HERU WIREDJA,DDS,INC

NPI: 1659783918 · MAYWOOD, CA 90270 · 122300000X

$414K
Total Medicaid Paid
14,126
Total Claims
9,233
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,133 $45K
2019 1,734 $39K
2020 1,184 $29K
2021 2,034 $59K
2022 2,176 $73K
2023 2,658 $83K
2024 2,207 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 1,376 1,373 $115K
D0120 1,779 1,768 $93K
D0150 648 647 $40K
D2150 531 313 $35K
D1120 759 758 $29K
D0210 597 595 $27K
D0230 6,484 1,902 $26K
D2791 38 27 $18K
D0272 1,084 1,080 $12K
D2140 139 85 $8K
D1208 606 606 $7K
D2160 22 17 $2K
D2954 13 12 $1K
D0274 50 50 $1K