Medicaid Provider Spending

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

SOUTH HILLS PEDIATRIC DENTAL SPECIALISTS, LLC

NPI: 1730714783 · RIVERTON, UT 84096 · 1223P0221X

$241K
Total Medicaid Paid
8,684
Total Claims
7,938
Beneficiaries
15
Codes Billed
2020-06
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 304 $9K
2021 1,712 $52K
2022 3,329 $96K
2023 1,932 $48K
2024 1,407 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 1,642 1,613 $117K
D1120 1,794 1,767 $35K
D0272 922 902 $24K
D0150 105 100 $17K
D1206 1,965 1,930 $15K
D0330 102 96 $14K
D0220 868 836 $7K
D0230 952 552 $5K
D7140 59 25 $2K
D1351 145 30 $1K
D2140 38 24 $1K
D2392 16 12 $1K
D2391 16 12 $1K
D2150 47 26 $1K
D0274 13 13 $0.00