Medicaid Provider Spending

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

ANGELES, JOSE

NPI: 1124246590 · FAR ROCKAWAY, NY 11691 · General Practice Dentistry · NPI assigned 04/23/2007

$11K
Total Medicaid Paid
718
Total Claims
715
Beneficiaries
6
Codes Billed
2018-08
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $340.74
2023 172 $2K
2024 531 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 215 215 $4K
D1110 Prophylaxis - adult 44 44 $2K
D0220 Intraoral - periapical first radiographic image 163 162 $2K
D0230 Intraoral - periapical each additional radiographic image 214 212 $1K
D0274 Bitewings - four radiographic images 70 70 $1K
D1208 Topical application of fluoride, excluding varnish 12 12 $132.30