Medicaid Provider Spending

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

XERES DESIREE PLEYTO DDS INC.

NPI: 1336452424 · IRWINDALE, CA 91706 · General Practice Dentistry · NPI assigned 07/19/2010

$2K
Total Medicaid Paid
67
Total Claims
67
Beneficiaries
2
Codes Billed
2019-04
First Month
2023-06
Last Month

Provider Details

Authorized OfficialPLEYTO, XERES DESIREE (DENTIST)
NPI Enumeration Date07/19/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $145.00
2020 12 $152.00
2022 13 $188.00
2023 30 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 12 12 $1K
D1208 Topical application of fluoride, excluding varnish 55 55 $749.00