Medicaid Provider Spending

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

MARKETSIDE STREET DENTAL LLC

NPI: 1952020612 · BUCKEYE, AZ 85396 · 1223P0221X

$28K
Total Medicaid Paid
4,311
Total Claims
3,816
Beneficiaries
16
Codes Billed
2023-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 233 $872.78
2024 4,078 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 635 612 $7K
D0150 352 329 $4K
D1206 626 597 $3K
D0220 809 754 $3K
D0230 802 654 $3K
D2392 97 46 $2K
D0272 327 308 $2K
D1351 137 37 $1K
D9230 139 120 $756.03
D0120 72 72 $698.61
D0274 39 35 $416.55
D1208 70 69 $339.00
D0330 31 28 $278.71
D0140 18 13 $191.28
D1110 17 15 $176.12
D0603 140 127 $0.00