Medicaid Provider Spending

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

PURA VIDA SMILES, PC

NPI: 1740602846 · JACKSON, MI 49202 · 122300000X

$8K

Total Medicaid Paid

176

Total Claims

174

Beneficiaries

3

Codes Billed

2019-08

First Month

2024-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2019	13	$225.00
2024	163	$7K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0150		97	96	$4K
D0210		66	65	$4K
D1206		13	13	$225.00