Medicaid Provider Spending

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

BORIS LA NOIRE DDS INC

NPI: 1669074746 · PLEASANT HILL, CA 94523 · 261QD0000X

$22K
Total Medicaid Paid
410
Total Claims
409
Beneficiaries
5
Codes Billed
2021-07
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $858.00
2022 126 $8K
2024 271 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 133 132 $9K
D1110 71 71 $6K
D0210 102 102 $5K
D1206 57 57 $982.00
D1320 47 47 $822.50