Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
MT
›
MISSOULA
› MISSOULA DENTAL, PC
MISSOULA DENTAL, PC
NPI: 1952076820 · MISSOULA, MT 59803 ·
122300000X
$134K
Total Medicaid Paid
3,871
Total Claims
3,307
Beneficiaries
12
Codes Billed
2021-09
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
61
$2K
2022
901
$40K
2023
1,979
$59K
2024
930
$32K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
1,132
999
$50K
D2392
115
65
$14K
D0150
483
425
$14K
D0210
229
200
$13K
D0120
594
527
$13K
D1206
449
391
$8K
D0274
226
205
$7K
D0220
364
283
$5K
D0140
101
86
$3K
D2391
42
27
$3K
D7210
19
13
$3K
D0230
117
86
$728.42