Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

STONEHAVEN DENTAL - SPANISH FORK, LLC

NPI: 1922411321 · SPANISH FORK, UT 84660 · 261QD0000X

$25K
Total Medicaid Paid
1,510
Total Claims
1,198
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 809 $11K
2019 184 $3K
2020 230 $6K
2021 287 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 161 156 $23K
D0150 12 12 $995.24
D1206 146 138 $599.17
D0230 473 222 $345.79
D0274 266 254 $195.57
D0220 332 301 $153.09
D1120 120 115 $105.85