Medicaid Provider Spending

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

ARROYO CALIXTO, LINDANYR

NPI: 1225427891 · GUAYNABO, PR 00969 · Dentist · NPI assigned 01/20/2015

$8K
Total Medicaid Paid
429
Total Claims
393
Beneficiaries
9
Codes Billed
2022-02
First Month
2022-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 429 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 183 172 $3K
D7140 Extraction, erupted tooth or exposed root 36 14 $2K
D1110 Prophylaxis - adult 64 64 $2K
D0150 Comprehensive oral evaluation - new or established patient 29 29 $603.92
D0120 Periodic oral evaluation - established patient 47 47 $593.40
D1208 Topical application of fluoride, excluding varnish 24 24 $326.13
D0140 Limited oral evaluation - problem focused 16 16 $267.56
D1120 Prophylaxis - child 13 13 $240.00
D0230 Intraoral - periapical each additional radiographic image 17 14 $120.07