Medicaid Provider Spending

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

DOMINGUEZ, GLENN

NPI: 1316045578 · WOONSOCKET, RI 02895 · General Practice Dentistry · NPI assigned 09/20/2006

$19K
Total Medicaid Paid
726
Total Claims
659
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 347 $9K
2019 180 $5K
2020 45 $1K
2021 75 $2K
2023 12 $332.40
2024 67 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 390 358 $11K
D0120 Periodic oral evaluation - established patient 265 237 $5K
D1120 Prophylaxis - child 71 64 $3K