Medicaid Provider Spending

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

SU ALDABA DENTAL CORPORATION

NPI: 1972183135 · RESEDA, CA 91335 · 1223G0001X

$141K

Total Medicaid Paid

5,838

Total Claims

3,912

Beneficiaries

13

Codes Billed

2023-05

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2023	1,369	$35K
2024	4,469	$106K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1120		720	720	$37K
D1310		469	469	$21K
D1206		713	713	$17K
D0150		238	238	$16K
D0120		239	239	$15K
D0230		2,272	476	$9K
D0145		131	131	$8K
D0603		467	467	$7K
D0220		326	316	$4K
D1351		59	14	$2K
D9230		42	40	$2K
D0350		113	40	$1K
D0272		49	49	$576.00