Medicaid Provider Spending

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

NPI: 1417570250 · STAFFORD, VA 22556 · General Practice Dentistry · NPI assigned 05/27/2020

$1K
Total Medicaid Paid
85
Total Claims
85
Beneficiaries
3
Codes Billed
2022-01
First Month
2022-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 85 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 30 30 $528.00
D0120 Periodic oral evaluation - established patient 30 30 $450.96
D0220 Intraoral - periapical first radiographic image 25 25 $115.50