Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › ELMWOOD PARK › DE LA COTERA, FRED

DE LA COTERA, FRED

NPI: 1437139185 · ELMWOOD PARK, IL 60707 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 01/19/2006

$5K
Total Medicaid Paid
251
Total Claims
251
Beneficiaries
2
Codes Billed
2023-07
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 188 $4K
2024 63 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9310 150 150 $3K
D0330 Panoramic radiographic image 101 101 $2K