Medicaid Provider Spending

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

STONEHAVEN DENTAL - WEST VALLEY LLC

NPI: 1720572548 · WEST VALLEY CITY, UT 84120 · 1223G0001X

$4K
Total Medicaid Paid
62
Total Claims
58
Beneficiaries
3
Codes Billed
2019-09
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 62 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 32 30 $4K
D0210 14 14 $0.00
D0330 16 14 $0.00