Medicaid Provider Spending

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

14TH AVENUE DENTAL LLC

NPI: 1740707462 · ALBANY, OR 97322 · 122300000X

$3K
Total Medicaid Paid
1,880
Total Claims
1,707
Beneficiaries
14
Codes Billed
2023-06
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 610 $2K
2024 1,270 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 178 177 $1K
D4341 128 92 $990.00
D1110 256 255 $799.00
D2392 66 46 $142.00
D0150 40 40 $114.00
D0140 57 56 $105.00
D0180 19 19 $84.00
D0220 65 64 $52.00
D9230 13 13 $26.00
D1206 59 59 $19.00
D0603 32 32 $10.00
D1330 917 804 $0.02
D1310 33 33 $0.00
D0120 17 17 $0.00