Medicaid Provider Spending

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

ESTETICA DENTAL GABLES,INC

NPI: 1215212782 · CORAL GABLES, FL 33134 · Dentist · NPI assigned 10/17/2011

$25K
Total Medicaid Paid
2,623
Total Claims
2,382
Beneficiaries
9
Codes Billed
2020-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialVALDES, MARILYN (DOCTOR/OWNER)
NPI Enumeration Date10/17/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 505 $9K
2022 828 $9K
2023 582 $5K
2024 708 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 388 367 $18K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 117 53 $4K
D0274 Bitewings - four radiographic images 262 242 $996.26
D1110 Prophylaxis - adult 98 92 $586.71
D1120 Prophylaxis - child 67 61 $541.00
D1208 Topical application of fluoride, excluding varnish 402 375 $422.89
D0220 Intraoral - periapical first radiographic image 414 381 $166.27
D0230 Intraoral - periapical each additional radiographic image 392 354 $143.81
D1330 483 457 $120.00