Medicaid Provider Spending

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

FERNANDEZ, PABLO

NPI: 1164808895 · MILWAUKEE, WI 53233 · Dentist · NPI assigned 08/05/2015

$16K
Total Medicaid Paid
869
Total Claims
839
Beneficiaries
8
Codes Billed
2019-10
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 86 $890.99
2020 61 $463.69
2021 399 $7K
2022 238 $5K
2023 85 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 336 328 $7K
D1206 Topical application of fluoride varnish 364 359 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 40 25 $2K
D0210 Intraoral - complete series of radiographic images 29 29 $1K
D0150 Comprehensive oral evaluation - new or established patient 29 28 $636.85
D0220 Intraoral - periapical first radiographic image 13 13 $99.12
D1330 45 44 $0.00
D0425 13 13 $0.00