Medicaid Provider Spending

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

DR. ROSEMARIE QUIMSON-CRUZ, DMD, INC.

NPI: 1366830473 · LOS ANGELES, CA 90057 · Point of Service · NPI assigned 12/26/2014

$18K
Total Medicaid Paid
774
Total Claims
659
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCRUZ, DENNIS (MANAGER)
NPI Enumeration Date12/26/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 227 $2K
2019 258 $7K
2021 30 $1K
2022 81 $4K
2023 58 $2K
2024 120 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 110 108 $4K
D0230 Intraoral - periapical each additional radiographic image 299 192 $3K
D4910 41 40 $3K
D1110 Prophylaxis - adult 30 30 $3K
D0350 85 80 $2K
D1208 Topical application of fluoride, excluding varnish 85 85 $1K
D0274 Bitewings - four radiographic images 49 49 $1K
D1206 Topical application of fluoride varnish 49 49 $709.50
D0220 Intraoral - periapical first radiographic image 26 26 $312.00