Medicaid Provider Spending

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

SAN FRANCISCO DENTAL, LLC

NPI: 1033551445 · SAN JUAN, PR 00927 · Dental Clinic/Center · NPI assigned 07/26/2013

$18K
Total Medicaid Paid
940
Total Claims
797
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMENDEZ, NANETTE (PRESIDENT)
NPI Enumeration Date07/26/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 91 $2K
2020 106 $2K
2021 192 $3K
2022 279 $5K
2023 109 $2K
2024 163 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 574 475 $9K
D1110 Prophylaxis - adult 234 201 $7K
D0272 Bitewings - two radiographic images 64 53 $982.77
D0120 Periodic oral evaluation - established patient 56 56 $655.44
D0150 Comprehensive oral evaluation - new or established patient 12 12 $292.92