Medicaid Provider Spending

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

SSA SERVICES INC

NPI: 1053438606 · HOMESTEAD, FL 33030 · Dental Clinic/Center · NPI assigned 03/26/2007

$6K
Total Medicaid Paid
396
Total Claims
396
Beneficiaries
5
Codes Billed
2018-09
First Month
2018-11
Last Month

Provider Details

Authorized OfficialLOURENCO, AURY (OFFICE MANAGER)
NPI Enumeration Date03/26/2007

Related Entities

Other providers sharing the same authorized official: LOURENCO, AURY

ProviderCityStateTotal Paid
LOURENCO DDS. INC GARDEN GROVE CA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 396 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 94 94 $5K
D1120 Prophylaxis - child 76 76 $339.01
D0272 Bitewings - two radiographic images 39 39 $101.10
D1330 92 92 $68.39
D1208 Topical application of fluoride, excluding varnish 95 95 $0.00