Medicaid Provider Spending

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

DAVILA, LUIS

NPI: 1740406842 · OGDEN, UT 84401 · 1223G0001X

$124K

Total Medicaid Paid

3,546

Total Claims

2,287

Beneficiaries

8

Codes Billed

2018-01

First Month

2023-08

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	405	$22K
2019	952	$35K
2020	554	$16K
2021	947	$25K
2022	530	$20K
2023	158	$5K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		300	294	$43K
D0140		279	262	$34K
D0220		1,032	976	$26K
D7140		460	217	$15K
D0120		27	26	$3K
D0230		1,301	371	$1K
D0272		105	102	$877.90
D1110		42	39	$409.53