Medicaid Provider Spending

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

ORTHODENTAL PC

NPI: 1750622072 · GALLUP, NM 87301 · 1223X0400X

$209K
Total Medicaid Paid
9,124
Total Claims
7,926
Beneficiaries
16
Codes Billed
2018-02
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,648 $38K
2019 1,392 $25K
2020 717 $9K
2021 602 $14K
2022 957 $18K
2023 2,330 $62K
2024 1,478 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 1,403 1,358 $38K
D2391 527 264 $32K
D1120 915 881 $23K
D2392 280 155 $23K
D0230 2,074 1,504 $20K
D0220 1,713 1,640 $19K
D1208 899 864 $15K
D0150 409 386 $14K
D0120 658 642 $13K
D1110 125 120 $5K
D8660 53 50 $4K
D0330 16 13 $696.37
D0340 16 13 $562.90
D0140 12 12 $351.34
D9230 12 12 $342.00
D1206 12 12 $253.55