Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › ONTARIO › KTLE DMD, PC

KTLE DMD, PC

NPI: 1770067001 · ONTARIO, CA 91761 · 1223G0001X

$27K
Total Medicaid Paid
951
Total Claims
459
Beneficiaries
10
Codes Billed
2024-08
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 951 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 133 133 $9K
D0210 90 90 $4K
D0350 421 106 $4K
D4341 55 15 $4K
D2392 40 15 $3K
D1110 18 18 $2K
D1120 12 12 $630.00
D0230 138 26 $558.90
D1206 31 31 $514.00
D0330 13 13 $390.00