Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› SUN WEST DENTAL IV, LLC
SUN WEST DENTAL IV, LLC
NPI: 1689716508 · SURPRISE, AZ 85374 ·
122300000X
$55K
Total Medicaid Paid
4,799
Total Claims
4,424
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,061
$13K
2019
979
$16K
2020
1,165
$11K
2021
857
$9K
2022
520
$5K
2023
128
$1K
2024
89
$591.56
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0140
946
908
$19K
D0220
2,284
2,168
$15K
D7210
177
66
$11K
D0230
952
853
$4K
D0274
155
152
$2K
D0330
58
56
$2K
D0120
64
64
$985.10
D1110
36
36
$718.96
D1206
79
78
$415.28
D0150
15
15
$291.48
D1208
14
14
$178.78
D1999
19
14
$3.00