Medicaid Provider Spending

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

CABRERA, JEANETTE

NPI: 1437186053 · CAROLINA, PR 00983 · General Practice Dentistry · NPI assigned 06/27/2006

$8K
Total Medicaid Paid
783
Total Claims
424
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 783 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 128 85 $3K
D0272 Bitewings - two radiographic images 129 85 $2K
D0150 Comprehensive oral evaluation - new or established patient 104 72 $1K
D0230 Intraoral - periapical each additional radiographic image 250 72 $884.70
D0220 Intraoral - periapical first radiographic image 106 66 $567.00
D0120 Periodic oral evaluation - established patient 40 29 $387.90
D1208 Topical application of fluoride, excluding varnish 26 15 $351.00