Medicaid Provider Spending

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

PEDIATRIC DENTISTRY OF CAPE CORAL

NPI: 1154753424 · CAPE CORAL, FL 33990 · Pediatric Dentist · NPI assigned 08/08/2013

$2K
Total Medicaid Paid
61
Total Claims
59
Beneficiaries
4
Codes Billed
2020-03
First Month
2020-07
Last Month

Provider Details

Authorized OfficialARGUMOSA, MIGUEL (PEDIATRIC DENTIST/MEMBER)
NPI Enumeration Date08/08/2013

Related Entities

Other providers sharing the same authorized official: ARGUMOSA, MIGUEL

ProviderCityStateTotal Paid
PEDIATRIC DENTISTRY OF BONITA BONITA SPRINGS FL $758.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 61 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 14 12 $2K
D1208 Topical application of fluoride, excluding varnish 16 16 $0.00
D1330 16 16 $0.00
D1120 Prophylaxis - child 15 15 $0.00