Medicaid Provider Spending

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

PEREZ, VIDAL

NPI: 1013045210 · GUAYAMA, PR 00784 · General Practice Dentistry · NPI assigned 03/01/2007

$57K
Total Medicaid Paid
3,484
Total Claims
2,745
Beneficiaries
8
Codes Billed
2018-01
First Month
2023-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,347 $19K
2019 1,081 $19K
2020 300 $6K
2021 509 $8K
2022 234 $5K
2023 13 $188.92

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 931 737 $23K
D0120 Periodic oral evaluation - established patient 756 606 $9K
D0272 Bitewings - two radiographic images 581 437 $7K
D0330 Panoramic radiographic image 235 184 $6K
D0150 Comprehensive oral evaluation - new or established patient 339 236 $5K
D1999 423 383 $4K
D1208 Topical application of fluoride, excluding varnish 196 142 $3K
D1120 Prophylaxis - child 23 20 $307.26