Medicaid Provider Spending

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

STONEHAVEN DENTAL - MIDVALE, LLC

NPI: 1720524747 · MIDVALE, UT 84047 · 1223G0001X

$15K

Total Medicaid Paid

302

Total Claims

227

Beneficiaries

10

Codes Billed

2018-03

First Month

2020-09

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	12	$1K
2019	28	$3K
2020	262	$11K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		52	52	$9K
D2392		34	12	$4K
D0120		14	14	$2K
D0274		19	19	$166.68
D2150		34	12	$0.00
D0220		32	32	$0.00
D1120		15	15	$0.00
D0330		37	37	$0.00
D0230		51	20	$0.00
D1206		14	14	$0.00