Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › GALLUP › WHITEHEAD, TYLER

WHITEHEAD, TYLER

NPI: 1881090736 · GALLUP, NM 87301 · 1223G0001X

$30K
Total Medicaid Paid
1,227
Total Claims
1,223
Beneficiaries
10
Codes Billed
2018-01
First Month
2023-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 96 $2K
2021 755 $19K
2022 288 $7K
2023 88 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 207 206 $7K
D1110 107 107 $5K
D0274 150 150 $5K
D1208 195 194 $4K
D1120 93 93 $3K
D0220 239 238 $3K
D0230 181 181 $2K
D0140 26 25 $769.42
D0120 14 14 $328.10
D1206 15 15 $287.87