Medicaid Provider Spending

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

GRUPO DENTAL DR. ARNALDO J GARCIA

NPI: 1508136441 · SAN JUAN, PR 00913 · Dental Clinic/Center · NPI assigned 01/10/2012

$16K
Total Medicaid Paid
981
Total Claims
845
Beneficiary Records
7
Codes Billed
2018-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialVEGA, MARITZA (EXECUTIVE SUB DIRECTOR)
Parent OrganizationCDT DR. ARNALDO J GARCIA
NPI Enumeration Date01/10/2012

Related Entities

Other providers sharing the same authorized official: VEGA, MARITZA

ProviderCityStateTotal Paid
LABORATORIO CLINICO DR. GUALBERTO RABELL SAN JUAN PR $1.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 226 $3K
2019 115 $2K
2021 29 $509.07
2022 164 $2K
2023 60 $870.60
2024 387 $7K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1999 453 382 $6K
D0150 Comprehensive oral evaluation - new or established patient 194 172 $4K
D1208 Topical application of fluoride, excluding varnish 146 126 $2K
D1120 Prophylaxis - child 104 86 $2K
D1110 Prophylaxis - adult 56 53 $1K
D0272 Bitewings - two radiographic images 13 13 $221.00
D0120 Periodic oral evaluation - established patient 15 13 $128.70