Medicaid Provider Spending

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

MARIA V. SANTOS, D.M.D., INC

NPI: 1457542581 · FULLERTON, CA 92833 · General Practice Dentistry · NPI assigned 08/05/2007

$59K
Total Medicaid Paid
4,635
Total Claims
1,516
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSANTOS, LOURDES (OFFICE MANAGER)
NPI Enumeration Date08/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 989 $5K
2019 703 $6K
2020 311 $3K
2021 635 $8K
2022 499 $4K
2023 843 $15K
2024 655 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 3,819 793 $15K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 116 75 $9K
D0120 Periodic oral evaluation - established patient 166 164 $8K
D1110 Prophylaxis - adult 108 107 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 98 74 $6K
D0274 Bitewings - four radiographic images 163 162 $3K
D0150 Comprehensive oral evaluation - new or established patient 41 41 $3K
D9430 85 75 $3K
D2335 22 13 $2K
D2394 17 12 $1K