Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › GUAYNABO › FOUR MOLAR PSC

FOUR MOLAR PSC

NPI: 1164814042 · GUAYNABO, PR 00969 · 1223S0112X

$2.99M
Total Medicaid Paid
29,553
Total Claims
20,113
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,081 $367K
2019 3,983 $346K
2020 2,440 $197K
2021 4,298 $391K
2022 4,096 $411K
2023 3,909 $460K
2024 5,746 $816K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 4,050 1,612 $726K
D7230 4,156 1,753 $674K
D9223 3,295 2,806 $624K
D7210 5,188 2,906 $420K
D0160 7,546 6,499 $275K
D7220 929 597 $138K
D0330 1,646 1,479 $52K
D1999 2,146 2,057 $33K
D7250 406 214 $27K
D9222 191 190 $19K