Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › SANTURCE › DISLA PENA, JOSE

DISLA PENA, JOSE

NPI: 1215006648 · SANTURCE, PR 00911 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 11/07/2006

$17K
Total Medicaid Paid
911
Total Claims
843
Beneficiaries
5
Codes Billed
2019-04
First Month
2022-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 108 $2K
2020 337 $7K
2021 321 $5K
2022 145 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 528 487 $8K
D0330 Panoramic radiographic image 163 141 $4K
D0150 Comprehensive oral evaluation - new or established patient 130 125 $3K
D1110 Prophylaxis - adult 34 34 $943.55
D0120 Periodic oral evaluation - established patient 56 56 $704.04