Medicaid Provider Spending

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

CASTILLO, ELZEBIR

NPI: 1396810883 · CORAL SPRINGS, FL 33071 · General Practice Dentistry · NPI assigned 11/21/2006

$66K
Total Medicaid Paid
3,305
Total Claims
2,716
Beneficiaries
10
Codes Billed
2022-03
First Month
2022-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 3,305 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 867 295 $40K
D1206 Topical application of fluoride varnish 622 617 $13K
D0120 Periodic oral evaluation - established patient 106 105 $8K
D0191 727 727 $3K
D1120 Prophylaxis - child 76 75 $956.62
D2391 Resin-based composite - one surface, posterior, primary or permanent 12 12 $576.18
D1330 619 616 $88.28
D0220 Intraoral - periapical first radiographic image 135 132 $33.32
D0230 Intraoral - periapical each additional radiographic image 116 113 $0.00
D0272 Bitewings - two radiographic images 25 24 $0.00