Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SAN TAN VALLEY
› DR WISDOM TEETH
DR WISDOM TEETH
NPI: 1992298533 · SAN TAN VALLEY, AZ 85143 ·
261QD0000X
$15K
Total Medicaid Paid
1,500
Total Claims
1,199
Beneficiaries
5
Codes Billed
2020-06
First Month
2024-03
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
369
$12K
2021
533
$2K
2022
244
$436.68
2023
325
$704.58
2024
29
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D7240
84
28
$5K
D7210
140
60
$5K
D0140
695
582
$2K
D0330
553
503
$2K
D9310
28
26
$33.13