Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PREMIUM DENTAL
NPI: 1720228893 · DENTON, TX 76205 ·
1223G0001X
$65K
Total Medicaid Paid
4,619
Total Claims
4,314
Beneficiaries
13
Codes Billed
2020-11
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
44
$189.63
2021
833
$12K
2022
1,776
$27K
2023
1,079
$14K
2024
887
$12K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
765
730
$20K
D1206
935
887
$13K
D1120
285
269
$9K
D1110
141
133
$7K
D0274
190
180
$5K
D0272
141
133
$3K
D0220
269
254
$3K
D1351
77
13
$2K
D2391
23
12
$2K
D0230
149
128
$1K
D0150
12
12
$423.84
D0603
694
674
$0.00
D0602
938
889
$0.00