Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › ATLANTIS › ANTEZANA, MAURICIO

ANTEZANA, MAURICIO

NPI: 1063876399 · ATLANTIS, FL 33462 · Student in an Organized Health Care Education/Training Program · NPI assigned 04/12/2016

$964.87
Total Medicaid Paid
33
Total Claims
33
Beneficiaries
2
Codes Billed
2022-09
First Month
2022-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 33 $964.87

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 17 17 $964.87
D0150 Comprehensive oral evaluation - new or established patient 16 16 $0.00