Medicaid Provider Spending

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

CASTILLO DENTAL LLC

NPI: 1386322196 · SAN JUAN, PR 00911 · Dental Clinic/Center · NPI assigned 07/11/2023

$2K
Total Medicaid Paid
133
Total Claims
69
Beneficiaries
4
Codes Billed
2024-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialCASTILLO, JOSE (PRESIDENT)
NPI Enumeration Date07/11/2023

Related Entities

Other providers sharing the same authorized official: CASTILLO, JOSE

ProviderCityStateTotal Paid
THE HAPPY HOMO PALM SPRINGS CA $64K
JOSE C. CASTILLO, D.D.S., INC. SAN DIEGO CA $845.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 133 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 60 31 $841.58
D0150 Comprehensive oral evaluation - new or established patient 27 14 $637.61
D0330 Panoramic radiographic image 23 12 $613.76
D0272 Bitewings - two radiographic images 23 12 $340.17