Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PRESCOTT VALLEY
› BRADSHAW MOUNTAIN FAMILY DENTAL GROUP PC
BRADSHAW MOUNTAIN FAMILY DENTAL GROUP PC
NPI: 1972773141 · PRESCOTT VALLEY, AZ 86314 ·
261QD0000X
$5K
Total Medicaid Paid
1,921
Total Claims
1,865
Beneficiaries
9
Codes Billed
2018-01
First Month
2022-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
200
$4K
2019
343
$494.24
2020
681
$216.64
2021
200
$0.00
2022
497
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
389
387
$1K
D1208
404
402
$1K
D1110
277
277
$828.67
D0274
207
207
$561.84
D0220
370
366
$447.34
D0230
150
150
$296.67
D2392
74
26
$170.98
D0601
38
38
$0.00
D1120
12
12
$0.00