Medicaid Provider Spending

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

GEORGINA LOPEZ DENTIST P.C.

NPI: 1437303054 · QUEENS, NY 11372 · General Practice Dentistry · NPI assigned 11/10/2008

$43K
Total Medicaid Paid
2,043
Total Claims
2,027
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialLOPEZ, GEORGINA (DENTIST)
NPI Enumeration Date11/10/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 653 $13K
2019 442 $9K
2020 224 $5K
2021 359 $8K
2022 103 $2K
2023 142 $3K
2024 120 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 446 439 $16K
D0120 Periodic oral evaluation - established patient 599 593 $12K
D0274 Bitewings - four radiographic images 423 422 $8K
D0230 Intraoral - periapical each additional radiographic image 505 503 $7K
D0220 Intraoral - periapical first radiographic image 43 43 $447.52
D1208 Topical application of fluoride, excluding varnish 27 27 $295.70