Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SOUTHERN DENTAL CARE, LLC
NPI: 1992115919 · MARRERO, LA 70072 ·
1223G0001X
$35K
Total Medicaid Paid
1,394
Total Claims
1,239
Beneficiaries
9
Codes Billed
2021-01
First Month
2023-07
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
635
$17K
2022
535
$13K
2023
224
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
631
560
$14K
D1110
267
233
$10K
D1120
160
146
$5K
D1208
212
191
$3K
D0210
12
12
$722.04
D0272
28
27
$578.61
D0150
13
13
$568.44
D0220
57
43
$484.77
D0230
14
14
$136.62