Medicaid Provider Spending

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

LOPEZ, CAROLINA

NPI: 1467071712 · DOVER, NJ 07801 · Dentist · NPI assigned 04/15/2020

$3K
Total Medicaid Paid
131
Total Claims
131
Beneficiaries
5
Codes Billed
2023-03
First Month
2023-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 131 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 45 45 $1K
D0120 Periodic oral evaluation - established patient 38 38 $855.00
D0274 Bitewings - four radiographic images 12 12 $126.00
D0220 Intraoral - periapical first radiographic image 24 24 $108.00
D0230 Intraoral - periapical each additional radiographic image 12 12 $36.00