Medicaid Provider Spending

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

ARIZONA, GUILLERMO

NPI: 1275535338 · WAUKEGAN, IL 60085 · General Practice Dentistry · NPI assigned 06/02/2005

$73K
Total Medicaid Paid
2,148
Total Claims
2,110
Beneficiaries
3
Codes Billed
2018-03
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 173 $6K
2019 330 $11K
2020 301 $10K
2021 434 $15K
2022 443 $15K
2023 467 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 1,028 1,012 $42K
D0120 Periodic oral evaluation - established patient 1,083 1,061 $30K
D1208 Topical application of fluoride, excluding varnish 37 37 $977.60