Medicaid Provider Spending

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

JOSE M LOPEZ, D.M.D., PA

NPI: 1073814257 · EL PASO, TX 79902 · General Practice Dentistry · NPI assigned 11/04/2010

$3K
Total Medicaid Paid
163
Total Claims
163
Beneficiaries
4
Codes Billed
2018-03
First Month
2019-03
Last Month

Provider Details

Authorized OfficialLOPEZ, JOSE (OWNER/DENTIST)
NPI Enumeration Date11/04/2010

Related Entities

Other providers sharing the same authorized official: LOPEZ, JOSE

ProviderCityStateTotal Paid
JOSE L. LOPEZ, DDS, INC SAN DIEGO CA $1.64M
JOSE J LOPEZ AGUDO OFTALMOLOGO CSP FAJARDO PR $766K
ORLEANS MEDICAL CLINIC,LLC ORLEANS IN $365K
GENESEE FAMILY CARE PC BURTON MI $105K
PRISMA CARE, A MEDICAL CORPORATION CHULA VISTA CA $8K
JOSE A LOPEZ M.D P.A OAKLAND FL $861.78

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 149 $2K
2019 14 $244.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 70 70 $1K
D0220 Intraoral - periapical first radiographic image 65 65 $709.80
D0140 Limited oral evaluation - problem focused 15 15 $425.55
D0274 Bitewings - four radiographic images 13 13 $368.81