Medicaid Provider Spending

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

JOSE M. SOSA, DDS, INC.

NPI: 1205337763 · VISTA, CA 92083 · Dental Clinic/Center · NPI assigned 02/21/2018

$19K
Total Medicaid Paid
821
Total Claims
501
Beneficiaries
6
Codes Billed
2022-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSOSA, JOSE (CEO)
NPI Enumeration Date02/21/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 475 $9K
2023 297 $9K
2024 49 $941.85

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 82 82 $5K
D1110 Prophylaxis - adult 66 66 $5K
D0220 Intraoral - periapical first radiographic image 252 173 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 34 12 $2K
D0230 Intraoral - periapical each additional radiographic image 360 141 $2K
D0210 Intraoral - complete series of radiographic images 27 27 $1K