Medicaid Provider Spending

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

GRACE DENTAL OF VIRGINIA, LLC

NPI: 1700212511 · CHANTILLY, VA 20151 · 1223G0001X

$83K

Total Medicaid Paid

4,057

Total Claims

3,958

Beneficiaries

11

Codes Billed

2021-08

First Month

2024-09

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	76	$3K
2022	989	$41K
2023	1,840	$39K
2024	1,152	$0.00

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D9248		458	446	$26K
D9920		480	464	$17K
D4910		468	456	$15K
D0120		778	761	$9K
D9630		687	672	$7K
D9994		920	896	$4K
D1110		127	126	$3K
D0150		42	42	$1K
D0220		55	53	$203.42
D0230		25	25	$0.00
D0274		17	17	$0.00