Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DR TOM DENTAL OFFICE
NPI: 1851461354 · ALTA LOMA, CA 91701 ·
122300000X
$27K
Total Medicaid Paid
1,411
Total Claims
1,407
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
287
$5K
2019
416
$8K
2020
349
$7K
2021
359
$7K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
293
289
$12K
D1120
263
263
$7K
D1208
398
398
$3K
D0230
319
319
$2K
D0274
113
113
$2K
D0272
25
25
$261.00