Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ENCHANTED SMILES
NPI: 1821430968 · BELEN, NM 87002 ·
124Q00000X
$672.10
Total Medicaid Paid
26
Total Claims
26
Beneficiaries
2
Codes Billed
2024-10
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2024
26
$672.10
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
12
12
$402.20
D1206
14
14
$269.90