Medicaid Provider Spending

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

PORTNEUF VALLEY DENTAL

NPI: 1770127565 · POCATELLO, ID 83201 · 261QD0000X

$10K

Total Medicaid Paid

477

Total Claims

443

Beneficiaries

8

Codes Billed

2022-08

First Month

2022-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2022	477	$10K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		100	100	$6K
D0210		28	28	$3K
D0330		28	28	$1K
D0150		82	82	$468.98
D0120		77	77	$151.38
D0274		33	33	$49.42
D0230		70	37	$0.00
D0220		59	58	$0.00