Medicaid Provider Spending

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

COMMUNITY DENTAL SERVICES, INC.

NPI: 1174632350 · ALBUQUERQUE, NM 87102 · Public Health Dentist · NPI assigned 08/30/2006

$12K
Total Medicaid Paid
376
Total Claims
355
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialVARGAS, DAVID (EXECUTIVE DIRECTOR)
NPI Enumeration Date08/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 376 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 98 97 $4K
D0150 Comprehensive oral evaluation - new or established patient 113 113 $4K
D0210 Intraoral - complete series of radiographic images 72 71 $3K
D0140 Limited oral evaluation - problem focused 28 26 $700.11
D0220 Intraoral - periapical first radiographic image 37 36 $377.22
D0230 Intraoral - periapical each additional radiographic image 28 12 $256.15