Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SOUTHSIDE DENTAL CARES, PC
NPI: 1962154252 · PETERSBURG, VA 23805 ·
261QD0000X
$14K
Total Medicaid Paid
775
Total Claims
730
Beneficiaries
9
Codes Billed
2022-06
First Month
2024-07
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
396
$9K
2023
341
$5K
2024
38
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1206
208
205
$3K
D9630
202
199
$3K
D1110
63
63
$2K
D0120
92
92
$1K
D0230
80
41
$987.83
D0150
25
25
$904.82
D0274
27
27
$825.24
D0220
66
66
$516.42
D1120
12
12
$402.24