Medicaid Provider Spending

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

CLINICA DENTAL DE LA FAMILIA

NPI: 1114048063 · SANTA ISABEL, PR 00757 · Dental Clinic/Center · NPI assigned 04/02/2007

$44K
Total Medicaid Paid
2,537
Total Claims
2,178
Beneficiaries
8
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAMOS, ARLEEN (PRESIDENT)
NPI Enumeration Date04/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 368 $6K
2019 569 $10K
2020 261 $4K
2021 292 $4K
2022 673 $13K
2023 94 $2K
2024 280 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 599 509 $16K
D1999 795 662 $10K
D0272 Bitewings - two radiographic images 404 355 $6K
D0120 Periodic oral evaluation - established patient 320 280 $4K
D0330 Panoramic radiographic image 114 106 $3K
D0150 Comprehensive oral evaluation - new or established patient 149 127 $3K
D1208 Topical application of fluoride, excluding varnish 102 93 $1K
D1120 Prophylaxis - child 54 46 $921.00