Medicaid Provider Spending

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

GOMEZ, JORGE

NPI: 1144203878 · WOODHAVEN, NY 11421 · Dentist · NPI assigned 11/28/2005

$8K
Total Medicaid Paid
386
Total Claims
385
Beneficiaries
4
Codes Billed
2020-02
First Month
2022-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 55 $1K
2021 207 $4K
2022 124 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 135 135 $5K
D0220 Intraoral - periapical first radiographic image 116 115 $1K
D0120 Periodic oral evaluation - established patient 49 49 $954.60
D0230 Intraoral - periapical each additional radiographic image 86 86 $671.63