Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LAKE SUPERIOR DENTAL ASSOCIATES
NPI: 1871672584 · DULUTH, MN 55805 ·
1223G0001X
$122K
Total Medicaid Paid
4,408
Total Claims
4,374
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
259
$1K
2019
496
$14K
2020
523
$13K
2021
1,418
$34K
2022
902
$33K
2023
454
$15K
2024
356
$12K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
1,364
1,357
$56K
D0120
1,610
1,598
$35K
D1206
905
897
$17K
D0274
386
384
$11K
D0140
39
39
$1K
D1120
31
31
$801.67
D0220
44
42
$472.85
D1208
15
14
$175.05
D9985
14
12
$0.00