Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › AVONDALE › TAMAYO, OLIVA RIA

TAMAYO, OLIVA RIA

NPI: 1013096221 · AVONDALE, AZ 85323 · General Practice Dentistry · NPI assigned 11/06/2006

$4K
Total Medicaid Paid
1,432
Total Claims
1,172
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 900 $2K
2019 532 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 301 254 $941.40
D0220 Intraoral - periapical first radiographic image 376 312 $711.95
D0274 Bitewings - four radiographic images 208 177 $693.59
D0230 Intraoral - periapical each additional radiographic image 341 252 $437.00
D1120 Prophylaxis - child 55 53 $333.00
D1110 Prophylaxis - adult 73 55 $323.48
D1208 Topical application of fluoride, excluding varnish 78 69 $216.54