Medicaid Provider Spending

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

OFICINA DENTAL DR. RAUL F. CORDERO C.S.P.

NPI: 1518125178 · MAYAGUEZ, PR 00682 · Dental Clinic/Center · NPI assigned 05/29/2008

$63K
Total Medicaid Paid
4,830
Total Claims
3,345
Beneficiaries
7
Codes Billed
2018-11
First Month
2023-10
Last Month

Provider Details

Authorized OfficialCORDERO, RAUL (PRESIDENT)
NPI Enumeration Date05/29/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 112 $2K
2019 1,152 $14K
2020 497 $8K
2021 1,918 $23K
2022 1,134 $16K
2023 17 $246.67

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 720 624 $20K
D1999 1,134 1,016 $14K
D0230 Intraoral - periapical each additional radiographic image 1,493 447 $11K
D0272 Bitewings - two radiographic images 492 424 $7K
D0150 Comprehensive oral evaluation - new or established patient 325 248 $5K
D0220 Intraoral - periapical first radiographic image 511 444 $3K
D0120 Periodic oral evaluation - established patient 155 142 $2K