Medicaid Provider Spending

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

ORTIZ, JOSE

NPI: 1376680389 · CIDRA, PR 00739 · General Practice Dentistry · NPI assigned 01/31/2007

$12K
Total Medicaid Paid
1,185
Total Claims
827
Beneficiaries
6
Codes Billed
2019-01
First Month
2022-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 21 $316.03
2020 132 $2K
2021 675 $5K
2022 357 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 161 155 $4K
D1999 416 334 $3K
D1110 Prophylaxis - adult 74 72 $3K
D0230 Intraoral - periapical each additional radiographic image 491 226 $2K
D0120 Periodic oral evaluation - established patient 26 24 $311.28
D0272 Bitewings - two radiographic images 17 16 $228.27