Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › SAN JUAN › CARIBBEAN DENTAL CLINIC

CARIBBEAN DENTAL CLINIC

NPI: 1154510535 · SAN JUAN, PR 00918 · Dentist · NPI assigned 10/22/2007

$87K
Total Medicaid Paid
5,193
Total Claims
4,095
Beneficiaries
8
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, ROSA (DENTIST)
NPI Enumeration Date10/22/2007

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, ROSA

ProviderCityStateTotal Paid
SMART CHOICE CAREGIVERS INC HOUSTON TX $6.64M
CENTRO DE SALUD FAMILIAR DR. JULIO PALMIERI FERRI INC. ARROYO PR $2.76M
CENTRO DE SALUD FAMILIAR DR. JULIO PALMIERI FERRI INC. ARROYO PR $1.60M
BIENESTAR HEALTH CLINIC LAREDO TX $758K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 431 $5K
2019 663 $9K
2020 160 $3K
2021 235 $4K
2022 903 $15K
2023 717 $12K
2024 2,084 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 1,481 1,181 $21K
D1208 Topical application of fluoride, excluding varnish 1,127 884 $16K
D0120 Periodic oral evaluation - established patient 864 657 $12K
D1120 Prophylaxis - child 618 489 $12K
D1110 Prophylaxis - adult 351 273 $11K
D0150 Comprehensive oral evaluation - new or established patient 289 251 $6K
D0272 Bitewings - two radiographic images 338 261 $5K
D0330 Panoramic radiographic image 125 99 $4K