Medicaid Provider Spending

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

WALL STREET DENTISTRY LLC

NPI: 1740519313 · ALBERTVILLE, AL 35951 · 261QD0000X

$2K
Total Medicaid Paid
152
Total Claims
147
Beneficiaries
4
Codes Billed
2018-03
First Month
2020-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 49 $942.00
2019 27 $491.00
2020 76 $709.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 41 41 $930.00
D1208 48 48 $828.00
D1206 12 12 $384.00
D1999 51 46 $0.00