Medicaid Provider Spending

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

HEALTH AND COSMETIC DENTAL CARE PA

NPI: 1417348467 · MIAMI, FL 33126 · Dental Clinic/Center · NPI assigned 02/12/2015

$19K
Total Medicaid Paid
1,625
Total Claims
1,422
Beneficiaries
14
Codes Billed
2019-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, GRETELL (DENTIST)
NPI Enumeration Date02/12/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 682 $4K
2020 943 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 383 236 $10K
D0120 Periodic oral evaluation - established patient 58 57 $5K
D0190 132 130 $2K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $1K
D1208 Topical application of fluoride, excluding varnish 208 203 $675.11
D0191 176 175 $462.75
D9995 75 59 $94.00
D1330 245 239 $53.62
D1110 Prophylaxis - adult 75 74 $40.12
D0220 Intraoral - periapical first radiographic image 66 64 $17.95
D1310 78 76 $12.26
D0230 Intraoral - periapical each additional radiographic image 14 14 $0.00
D1999 88 68 $0.00
D0274 Bitewings - four radiographic images 15 15 $0.00