Medicaid Provider Spending

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

LOPEZ, BERENICE

NPI: 1215052790 · LA GRANGE PARK, IL 60526 · General Practice Dentistry · NPI assigned 03/21/2007

$2K
Total Medicaid Paid
63
Total Claims
63
Beneficiaries
3
Codes Billed
2022-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 13 $2K
2024 50 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 29 29 $2K
D1206 Topical application of fluoride varnish 16 16 $0.00
D0120 Periodic oral evaluation - established patient 18 18 $0.00