Medicaid Provider Spending

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

OLD BRIDGE PEDIATRIC DENTISTRY LLC

NPI: 1003677477 · OLD BRIDGE, NJ 08857 · Pediatric Dentist · NPI assigned 01/22/2024

$14K
Total Medicaid Paid
814
Total Claims
634
Beneficiaries
14
Codes Billed
2024-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTINEZ, LUIS (DIRECTOR OF REVENUE CYCLE)
NPI Enumeration Date01/22/2024

Related Entities

Other providers sharing the same authorized official: MARTINEZ, LUIS

ProviderCityStateTotal Paid
LUIS & TERESA MARTINEZ, INC. LAREDO TX $162K
A PRESTIGE WELLNESS CENTER, PA DORAL FL $55K
PASADENA COLON & RECTAL MED GRP PASADENA CA $0.00
AMERICAN HEALTH PROVIDERS CORP MIAMI LAKES FL $0.00
XYRION MEDICAL INSTITUTE PONCE PR $0.00
TODAYS WOMAN CENTER,LLC SEBRING FL $0.00
LUIS E. MARTINEZ, D.M.D., P.A. ST PETERSBURG FL $0.00
CLINICA LAS AMERICAS GUAYNABO, INC BAYAMON PR $0.00
CLINICA LAS AMERICAS GUAYNABO, INC JUNCOS PR $0.00
CLINICA LAS AMERICAS GUAYNABO, INC SAN JUAN PR $0.00
CLINICA LAS AMERICAS GUAYNABO, INC SAN JUAN PR $0.00
LM MEDICAL TRANSPORT LLC SABANA GRANDE PR $0.00
FREEDOM THROUGH CHOICES, LLC SPRINGFIELD OR $0.00
WYCKOFF DENTAL SPA LLC WYCKOFF NJ $0.00
CLIFTON DENTAL SPA LLC CLIFTON NJ $0.00
THE CAVE CLINICAL SERVICES A LICENSED MARRIAGE AND FAMILY THERAPY CORP RANCHO CUCAMONGA CA $0.00
VITAL MEDICAL CARE LLC SAN SEBASTIAN PR $0.00
OPEN CARE WELLNESS CENTER JUNCOS, PR PR $0.00
OPEN CARE WELLNESS CENTER HUMACAO PR $0.00
OPEN CARE WELLNESS CENTER VILLALBA PR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 814 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 180 22 $4K
D1120 118 116 $4K
D0120 58 57 $1K
D0150 47 46 $1K
D1208 80 80 $987.50
D0603 60 59 $590.00
D9230 40 34 $585.00
D9920 26 26 $448.00
D0272 51 49 $428.75
D0140 12 12 $300.00
D0220 56 55 $275.00
D1206 15 13 $243.75
D0230 59 53 $210.00
D0602 12 12 $120.00