Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › GALLUP › OUTREACH DENTAL, LLC

OUTREACH DENTAL, LLC

NPI: 1982033700 · GALLUP, NM 87301 · 122300000X

$186K
Total Medicaid Paid
9,198
Total Claims
8,401
Beneficiaries
12
Codes Billed
2018-01
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,978 $80K
2019 4,778 $98K
2020 442 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 1,285 1,245 $34K
D0272 1,377 1,348 $28K
D1208 1,273 1,241 $22K
D0120 866 841 $19K
D1351 747 361 $17K
D0220 1,395 1,359 $16K
D0150 430 425 $15K
D0230 1,479 1,294 $14K
D2150 119 102 $9K
D2391 120 97 $7K
D2140 87 72 $5K
D2930 20 16 $2K