Medicaid Provider Spending

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

ELIZABETH DENTAL 77 PC

NPI: 1427738848 · ELIZABETH, NJ 07202 · Dentist · NPI assigned 07/20/2023

$0.00
Total Medicaid Paid
28
Total Claims
27
Beneficiaries
1
Codes Billed
2024-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, RAFAEL (PRESIDENT)
NPI Enumeration Date07/20/2023

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, RAFAEL

ProviderCityStateTotal Paid
R.T. PORTABLE X-RAY INC. CEDAR HILL TX $902K
LUCENT PATHOLOGY PARTNERS, INC CARMICHAEL CA $408K
TBIM HOSPITALISTS LLC TAMPA FL $187K
TAMPA BAY INPATIENT MEDICINE PA TAMPA FL $159K
DENTAL PM PC PATERSON NJ $120K
D-RAD MOBILE IMAGING SERVICES EL PASO TX $116K
WOODSIDE MEDICAL PRACTICE, P.C. WOODSIDE NY $79K
RRG MEDICAL PRACTICE, PC JACKSON HEIGHTS NY $26K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 28 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 28 27 $0.00