Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › SAN JUAN › C L A DENTAL GROUP

C L A DENTAL GROUP

NPI: 1346362928 · SAN JUAN, PR 00917 · Endodontist · NPI assigned 04/04/2007

$3K
Total Medicaid Paid
198
Total Claims
187
Beneficiaries
5
Codes Billed
2018-07
First Month
2022-12
Last Month

Provider Details

Authorized OfficialMARTINEZ, CARLOS (PRESIDENT)
NPI Enumeration Date04/04/2007

Related Entities

Other providers sharing the same authorized official: MARTINEZ, CARLOS

ProviderCityStateTotal Paid
UNITED HOME CARE SERVICES, INC. DORAL FL $93.77M
UNITED HOMECARE SERVICES, INC. DORAL FL $4.11M
OUTSIDES'S CAR SERVICE INC BRONX NY $354K
CARLOS S MARTINEZ MD INC LOS ANGELES CA $90K
ODONTOLOGIA GENERAL Y PEDIATRICA SAN JUAN PR $72K
CAROLINA DENTAL GROUP CAROLINA PR $40K
EYE PHYSICIANS OF LONG BEACH A MEDICAL GROUP INC. LONG BEACH CA $2K
CARLOS T J MARTINEZ, DO INC RANCHO CUCAMONGA CA $147.97
CARLOS JAVIER MARTINEZ, O.D., P.C. BOUND BROOK NJ $0.00
CLINICA MEDICA MI FAMILIA DE PALMDALE, INC. PALMDALE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $408.36
2019 27 $475.43
2020 51 $938.22
2021 67 $652.95
2022 28 $406.28

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 134 126 $2K
D1110 Prophylaxis - adult 26 24 $631.56
D0330 Panoramic radiographic image 12 12 $353.61
D0120 Periodic oral evaluation - established patient 13 13 $129.60
D0272 Bitewings - two radiographic images 13 12 $122.63