Medicaid Provider Spending

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

RODRIGUEZ, MARIA DE JESUS

NPI: 1396883351 · PHARR, TX 78577 · Pediatric Dentist · NPI assigned 02/02/2007

$14K
Total Medicaid Paid
692
Total Claims
577
Beneficiaries
6
Codes Billed
2021-10
First Month
2023-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $0.00
2023 679 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0145 Oral evaluation for a patient under three years of age 67 67 $9K
D0230 Intraoral - periapical each additional radiographic image 181 66 $1K
D0220 Intraoral - periapical first radiographic image 119 119 $1K
D0120 Periodic oral evaluation - established patient 39 39 $1K
D1208 Topical application of fluoride, excluding varnish 54 54 $793.80
D0603 232 232 $0.00