Medicaid Provider Spending

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

ROOTCANALS TO GO PSC

NPI: 1265066120 · SAN JUAN, PR 00924 · Endodontist · NPI assigned 02/28/2020

$18K
Total Medicaid Paid
141
Total Claims
81
Beneficiaries
2
Codes Billed
2022-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDE JESUS, CLARA (PRESIDENT)
NPI Enumeration Date02/28/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 30 $6K
2024 111 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D3320 83 52 $17K
D0150 Comprehensive oral evaluation - new or established patient 58 29 $1K