Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SIOUX CITY
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TRI-STATE DENTAL
NPI: 1821165580 · SIOUX CITY, IA 51104 ·
1223G0001X
$957.33
Total Medicaid Paid
56
Total Claims
50
Beneficiaries
2
Codes Billed
2021-02
First Month
2022-03
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
44
$773.67
2022
12
$183.66
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
42
38
$733.82
D1206
14
12
$223.51