Medicaid Provider Spending

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

JYF DENTAL CLINIC INC

NPI: 1326876608 · CATANO, PR 00725 · Dental Clinic/Center · NPI assigned 07/26/2024

$7K
Total Medicaid Paid
316
Total Claims
307
Beneficiaries
8
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFAMILIA GLASS, JUAN (ADMINISTRATOR)
NPI Enumeration Date07/26/2024

Related Entities

Other providers sharing the same authorized official: FAMILIA GLASS, JUAN

ProviderCityStateTotal Paid
CONSULTORIO Y LABORATORIO DENTAL BARBOSA CATANO PR $278.76

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 316 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 68 68 $3K
D1999 97 90 $1K
D0120 Periodic oral evaluation - established patient 52 51 $884.00
D0272 Bitewings - two radiographic images 26 26 $442.00
D1208 Topical application of fluoride, excluding varnish 29 28 $430.07
D0150 Comprehensive oral evaluation - new or established patient 16 16 $400.00
D1120 Prophylaxis - child 13 13 $299.00
D0220 Intraoral - periapical first radiographic image 15 15 $129.00