Medicaid Provider Spending

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

CABASSA LATONI, ROBERTO

NPI: 1063483444 · WILTON MANORS, FL 33305 · Pediatric Dentist · NPI assigned 02/01/2006

Deactivated NPI · This NPI was deactivated on 02/25/2020. Reactivated 02/28/2020.
$10K
Total Medicaid Paid
826
Total Claims
791
Beneficiaries
6
Codes Billed
2021-11
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 27 $0.00
2022 89 $1K
2023 599 $9K
2024 111 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 177 174 $10K
D1120 Prophylaxis - child 71 63 $114.96
D1206 Topical application of fluoride varnish 272 262 $32.84
D1330 250 240 $3.00
D0272 Bitewings - two radiographic images 28 24 $0.00
D1110 Prophylaxis - adult 28 28 $0.00