Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › INDIAN TRAIL › DIAZ, MILAGROS

DIAZ, MILAGROS

NPI: 1033430046 · INDIAN TRAIL, NC 28079 · General Practice Dentistry · NPI assigned 06/14/2010

$6K
Total Medicaid Paid
182
Total Claims
180
Beneficiaries
4
Codes Billed
2020-07
First Month
2020-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 182 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 65 64 $3K
D0120 Periodic oral evaluation - established patient 88 87 $2K
D0274 Bitewings - four radiographic images 13 13 $457.99
D1206 Topical application of fluoride varnish 16 16 $264.15