Medicaid Provider Spending

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

VALENZUELA, TIRZA

NPI: 1194075309 · LAS VEGAS, NV 89104 · Dentist · NPI assigned 09/14/2012

$27K
Total Medicaid Paid
1,337
Total Claims
1,293
Beneficiaries
8
Codes Billed
2018-04
First Month
2019-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 655 $11K
2019 682 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 369 369 $10K
D0120 Periodic oral evaluation - established patient 312 312 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 78 45 $4K
D1208 Topical application of fluoride, excluding varnish 377 377 $2K
D0330 Panoramic radiographic image 57 57 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 23 12 $1K
D0273 104 104 $824.64
D0603 17 17 $170.00