Medicaid Provider Spending

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

CORAL WAY DENTAL CENTER INC

NPI: 1508107871 · MIAMI, FL 33165 · Dental Clinic/Center · NPI assigned 03/11/2013

$39K
Total Medicaid Paid
1,748
Total Claims
923
Beneficiaries
6
Codes Billed
2022-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBAEZ, YOLANDA (OWNER)
NPI Enumeration Date03/11/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 877 $28K
2023 808 $11K
2024 63 $141.78

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 381 108 $26K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 310 87 $4K
D0210 Intraoral - complete series of radiographic images 140 140 $4K
D0150 Comprehensive oral evaluation - new or established patient 243 243 $3K
D1110 Prophylaxis - adult 249 249 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 425 96 $915.39