Medicaid Provider Spending

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

MAURICIO GARCIA, DDS, PLLC

NPI: 1174952683 · LEESBURG, VA 20176 · Dental Clinic/Center · NPI assigned 11/05/2013

$10K
Total Medicaid Paid
654
Total Claims
649
Beneficiaries
5
Codes Billed
2021-07
First Month
2024-08
Last Month

Provider Details

Authorized OfficialGARCIA, MAURICIO (GENERAL DENTIST)
NPI Enumeration Date11/05/2013

Related Entities

Other providers sharing the same authorized official: GARCIA, MAURICIO

ProviderCityStateTotal Paid
THE HEADACHE & PAIN CENTER , P.A. OVERLAND PARK KS $868K
THE HEADACHE & PAIN CENTER, P.A. OVERLAND PARK KS $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 39 $2K
2022 79 $4K
2023 336 $4K
2024 200 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 326 323 $8K
D0210 Intraoral - complete series of radiographic images 12 12 $663.08
D0220 Intraoral - periapical first radiographic image 53 52 $348.72
D0120 Periodic oral evaluation - established patient 127 127 $340.60
D9994 136 135 $129.12