Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DENTAL 4U

NPI: 1134583511 · HOUSTON, TX 77057 · Endodontist · NPI assigned 04/11/2016

$7K
Total Medicaid Paid
590
Total Claims
564
Beneficiaries
4
Codes Billed
2021-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialVILLALTA, MARITZA (MANAGER)
NPI Enumeration Date04/11/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 210 $3K
2022 380 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 205 198 $4K
D0220 Intraoral - periapical first radiographic image 215 206 $2K
D0270 128 122 $589.72
D0460 42 38 $453.25