Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN FERNANDO › HERMOSILLO, ELIZABETH

HERMOSILLO, ELIZABETH

NPI: 1164659272 · SAN FERNANDO, CA 91340 · Dental Hygienist · NPI assigned 06/16/2009

$41K
Total Medicaid Paid
1,058
Total Claims
1,012
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 195 $8K
2019 247 $11K
2020 12 $336.00
2021 290 $9K
2022 191 $7K
2023 123 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9920 207 205 $20K
D9410 358 343 $10K
D1120 Prophylaxis - child 172 160 $6K
D1208 Topical application of fluoride, excluding varnish 142 125 $2K
D1206 Topical application of fluoride varnish 179 179 $2K