Medicaid Provider Spending

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

NPI: 1346460094 · CAGUAS, PR 00725 · Dentist · NPI assigned 04/26/2007

OIG Excluded Provider · This provider appears on the HHS Office of Inspector General List of Excluded Individuals/Entities. Exclusion date: 07/20/2022.
$19K
Total Medicaid Paid
1,056
Total Claims
839
Beneficiaries
6
Codes Billed
2019-05
First Month
2022-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 192 $4K
2020 252 $6K
2021 421 $7K
2022 191 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 606 490 $10K
D1110 Prophylaxis - adult 221 197 $6K
D0330 Panoramic radiographic image 48 28 $1K
D0272 Bitewings - two radiographic images 93 72 $1K
D0150 Comprehensive oral evaluation - new or established patient 76 40 $1K
D0120 Periodic oral evaluation - established patient 12 12 $185.04