Medicaid Provider Spending

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

DR BRENDA LATORRE PSC DENTIST

NPI: 1114044351 · TRUJILLO ALTO, PR 00976 · Dentist · NPI assigned 03/23/2007

$69K
Total Medicaid Paid
3,803
Total Claims
3,185
Beneficiaries
7
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLATORRE, BRENDA (PRESIDENT)
NPI Enumeration Date03/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 173 $3K
2019 435 $8K
2020 155 $3K
2021 824 $14K
2022 677 $13K
2023 573 $9K
2024 966 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,032 880 $29K
D1999 1,750 1,386 $24K
D0120 Periodic oral evaluation - established patient 435 364 $7K
D0150 Comprehensive oral evaluation - new or established patient 331 315 $6K
D0272 Bitewings - two radiographic images 156 151 $2K
D1208 Topical application of fluoride, excluding varnish 86 77 $1K
D0220 Intraoral - periapical first radiographic image 13 12 $93.32