Medicaid Provider Spending

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

MEDINA PELLICER, NORBERTO

NPI: 1083830970 · CAROLINA, PR 00979 · General Practice Dentistry · NPI assigned 04/18/2007

$9K
Total Medicaid Paid
560
Total Claims
419
Beneficiaries
5
Codes Billed
2018-02
First Month
2018-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 560 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 233 176 $5K
D0272 Bitewings - two radiographic images 117 89 $2K
D0120 Periodic oral evaluation - established patient 120 74 $1K
D0150 Comprehensive oral evaluation - new or established patient 62 52 $882.00
D0220 Intraoral - periapical first radiographic image 28 28 $143.30