Medicaid Provider Spending

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

PEMBROKE DENTAL ASSOCIATES

NPI: 1154694891 · PEMBROKE PINES, FL 33026 · Endodontist · NPI assigned 02/10/2012

$4K
Total Medicaid Paid
651
Total Claims
563
Beneficiaries
4
Codes Billed
2022-02
First Month
2023-07
Last Month

Provider Details

Authorized OfficialPORRAS, EDGAR (PRESIDENT)
NPI Enumeration Date02/10/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 483 $4K
2023 168 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 213 183 $4K
D0220 Intraoral - periapical first radiographic image 214 183 $0.00
D0230 Intraoral - periapical each additional radiographic image 197 171 $0.00
D0272 Bitewings - two radiographic images 27 26 $0.00