Medicaid Provider Spending

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

SOTO-MENDEZ, JOSE

NPI: 1134598535 · FARMERS BRANCH, TX 75234 · Dentist · NPI assigned 09/16/2015

$3K
Total Medicaid Paid
387
Total Claims
373
Beneficiaries
5
Codes Billed
2022-08
First Month
2023-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 86 $699.68
2023 301 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 82 70 $1K
D1208 Topical application of fluoride, excluding varnish 65 65 $764.40
D0220 Intraoral - periapical first radiographic image 73 72 $602.88
D0120 Periodic oral evaluation - established patient 14 14 $403.90
D0603 153 152 $0.00