Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SOUTH DAVIS PEDIATRIC DENTISTRY LLC
NPI: 1841891462 · BOUNTIFUL, UT 84010 ·
1223P0221X
$66K
Total Medicaid Paid
2,053
Total Claims
1,929
Beneficiaries
9
Codes Billed
2023-07
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
304
$9K
2024
1,749
$57K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
502
498
$22K
D0120
502
499
$14K
D0272
382
379
$10K
D1206
461
456
$10K
D2150
63
12
$5K
D0274
47
47
$2K
D1351
70
12
$2K
D1110
12
12
$665.31
D0150
14
14
$592.76