Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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COEUR D ALENE
› DAVIDSON FAMILY DENTAL
DAVIDSON FAMILY DENTAL
NPI: 1922404987 · COEUR D ALENE, ID 83815 ·
1223G0001X
$8K
Total Medicaid Paid
397
Total Claims
395
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
114
$1K
2019
153
$2K
2020
38
$1K
2021
92
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
122
121
$7K
D0120
166
165
$379.11
D1208
68
68
$176.15
D1206
29
29
$0.00
D9920
12
12
$0.00