Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › POCATELLO › OAK MOUNTAIN DENTAL PLLC

OAK MOUNTAIN DENTAL PLLC

NPI: 1861837478 · POCATELLO, ID 83201 · 122300000X

$72K
Total Medicaid Paid
3,610
Total Claims
3,458
Beneficiaries
11
Codes Billed
2018-01
First Month
2022-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 834 $16K
2019 609 $13K
2020 459 $12K
2021 1,011 $17K
2022 697 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 937 929 $61K
D2392 141 80 $7K
D0274 298 298 $1K
D0140 94 92 $1K
D1120 13 13 $666.05
D1206 349 347 $282.76
D0150 12 12 $172.98
D0120 1,075 1,072 $143.03
D0220 410 396 $26.11
D0230 132 72 $0.00
D1208 149 147 $-98.29