Medicaid Provider Spending

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

MATABAR, ENRIQUE

NPI: 1477864916 · WASHINGTON, DC 20002 · General Practice Dentistry · NPI assigned 06/30/2010

$4K
Total Medicaid Paid
67
Total Claims
64
Beneficiaries
4
Codes Billed
2022-08
First Month
2023-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 38 $2K
2023 29 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 29 26 $2K
D0150 Comprehensive oral evaluation - new or established patient 14 14 $820.05
D0330 Panoramic radiographic image 12 12 $736.92
D0274 Bitewings - four radiographic images 12 12 $389.48