Medicaid Provider Spending

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

MA, RUIDAN

NPI: 1073038519 · SPRING, TX 77389 · General Practice Dentistry · NPI assigned 08/06/2017

$24K
Total Medicaid Paid
787
Total Claims
748
Beneficiaries
4
Codes Billed
2021-06
First Month
2022-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 455 $14K
2022 332 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 269 257 $11K
D1206 Topical application of fluoride varnish 270 258 $7K
D0120 Periodic oral evaluation - established patient 232 221 $6K
D0220 Intraoral - periapical first radiographic image 16 12 $84.00