Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › RI › WARWICK › WILFREDO L SANCIANCO DMD INC

WILFREDO L SANCIANCO DMD INC

NPI: 1407253073 · WARWICK, RI 02886 · Dentist · NPI assigned 11/26/2014

$10K
Total Medicaid Paid
448
Total Claims
448
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialSANCIANCO, WILFREDO (DENTIST/PROVIDER)
NPI Enumeration Date11/26/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $2K
2019 332 $7K
2020 33 $660.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 276 276 $8K
D0120 Periodic oral evaluation - established patient 172 172 $2K