Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN BRUNO › MARIA LUISA B. SANTOS,DMD, INC

MARIA LUISA B. SANTOS,DMD, INC

NPI: 1538577663 · SAN BRUNO, CA 94066 · Dentist · NPI assigned 08/01/2014

$3K
Total Medicaid Paid
74
Total Claims
73
Beneficiaries
2
Codes Billed
2018-05
First Month
2019-03
Last Month

Provider Details

Authorized OfficialSANTOS, MARIA LUISA (CEO/DENTIST)
NPI Enumeration Date08/01/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $750.00
2019 47 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 60 59 $2K
D0150 Comprehensive oral evaluation - new or established patient 14 14 $924.00