Medicaid Provider Spending

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

LOPERENA LOPEZ, DIANA

NPI: 1194736348 · COROZAL, PR 00783 · Dentist · NPI assigned 08/11/2006

$10K
Total Medicaid Paid
510
Total Claims
455
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 108 $2K
2019 245 $6K
2020 157 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 172 160 $5K
D0120 Periodic oral evaluation - established patient 97 84 $1K
D0330 Panoramic radiographic image 30 29 $1K
D0150 Comprehensive oral evaluation - new or established patient 55 55 $1K
D0272 Bitewings - two radiographic images 82 82 $1K
D0230 Intraoral - periapical each additional radiographic image 48 19 $311.60
D1120 Prophylaxis - child 13 13 $210.60
D1208 Topical application of fluoride, excluding varnish 13 13 $175.50