Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CHULA VISTA
› SAMUEL HAYATT DMD INC.
SAMUEL HAYATT DMD INC.
NPI: 1851665871 · CHULA VISTA, CA 91915 ·
122300000X
$56K
Total Medicaid Paid
1,454
Total Claims
1,417
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-05
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
715
$25K
2019
496
$21K
2020
12
$792.00
2021
65
$3K
2022
45
$2K
2024
121
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0150
441
440
$25K
D0210
389
388
$18K
D0120
111
110
$5K
D1206
296
294
$3K
D1120
51
51
$2K
D0274
52
52
$1K
D1320
45
45
$730.00
D0350
57
25
$652.80
D1110
12
12
$480.00