Medicaid Provider Spending

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

RUTGERS HEALTH -UNIVERSITY DENTAL ASSOCIATES

NPI: 1346454584 · NEWARK, NJ 07103 · General Practice Dentistry · NPI assigned 05/09/2007

$245K
Total Medicaid Paid
1,767
Total Claims
1,558
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialGRACIAS, VICENTE (PRESIDENT)
NPI Enumeration Date05/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 389 $53K
2019 141 $16K
2020 200 $20K
2021 383 $31K
2022 242 $13K
2023 264 $46K
2024 148 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 679 571 $130K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 608 594 $69K
D7240 Removal of impacted tooth - completely bony 113 44 $25K
D9420 27 27 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 100 99 $7K
70355 174 172 $5K
D0140 Limited oral evaluation - problem focused 40 25 $93.50
D9999 Unspecified adjunctive procedure, by report 26 26 $26.00