Medicaid Provider Spending

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

GRIGORYAN PROFESSIONAL DENTAL CORP

NPI: 1932534450 · UPLAND, CA 91786 · 261QD0000X

$15K
Total Medicaid Paid
377
Total Claims
375
Beneficiaries
6
Codes Billed
2020-12
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 40 $2K
2021 232 $9K
2022 28 $1K
2023 24 $911.50
2024 53 $856.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 130 130 $9K
D0210 70 70 $3K
D1110 13 13 $1K
D1208 90 90 $974.50
D9430 14 12 $448.00
D1330 60 60 $0.00