Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PREMIERE FAMILY DENTISTRY OF TAHLEQUAH, PLLC
NPI: 1780340513 · TAHLEQUAH, OK 74464 ·
261QD0000X
$60K
Total Medicaid Paid
2,071
Total Claims
1,980
Beneficiaries
12
Codes Billed
2022-02
First Month
2022-07
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
2,071
$60K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D2392
143
86
$12K
D0120
501
501
$10K
D1110
225
225
$10K
D1120
252
252
$8K
D1208
484
484
$7K
D0274
121
121
$4K
D2391
56
39
$3K
D9230
81
75
$2K
D0220
104
104
$2K
D0272
50
50
$915.00
D0330
12
12
$585.24
D0230
42
31
$320.04