Medicaid Provider Spending

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

RENTERIA, KLARISSA

NPI: 1144606997 · WESLACO, TX 78596 · General Practice Dentistry · NPI assigned 08/04/2015

$16K
Total Medicaid Paid
1,156
Total Claims
1,073
Beneficiaries
8
Codes Billed
2023-06
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 861 $12K
2024 295 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 187 174 $5K
D1208 Topical application of fluoride, excluding varnish 216 203 $3K
D1110 Prophylaxis - adult 44 40 $2K
D0220 Intraoral - periapical first radiographic image 200 186 $2K
D0230 Intraoral - periapical each additional radiographic image 194 177 $2K
D0274 Bitewings - four radiographic images 64 56 $2K
D1120 Prophylaxis - child 14 13 $477.75
D0603 237 224 $0.00