Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › RIO RANCHO › GRANDE DENTISTRY LLC

GRANDE DENTISTRY LLC

NPI: 1972166262 · RIO RANCHO, NM 87124 · 1223G0001X

$8K
Total Medicaid Paid
373
Total Claims
371
Beneficiaries
9
Codes Billed
2019-09
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 373 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 61 61 $2K
D1120 44 44 $1K
D1110 24 24 $1K
D0150 28 28 $959.00
D0220 78 76 $860.91
D1208 38 38 $678.15
D0230 67 67 $596.31
D0120 17 17 $378.59
D1206 16 16 $288.00