Medicaid Provider Spending

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

VERGARA, SANDRA

NPI: 1528000841 · WICHITA FALLS, TX 76301 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/12/2006

$32K
Total Medicaid Paid
514
Total Claims
437
Beneficiaries
6
Codes Billed
2021-07
First Month
2023-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 92 $4K
2022 64 $3K
2023 358 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 40 13 $11K
D0330 Panoramic radiographic image 154 153 $10K
D0150 Comprehensive oral evaluation - new or established patient 154 153 $5K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 84 37 $3K
D9222 38 37 $2K
D0601 44 44 $0.00