Medicaid Provider Spending

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

NPI: 1538715404 · SAN JUAN, PR 00918 · Dental Clinic/Center · NPI assigned 08/15/2019

$8K
Total Medicaid Paid
519
Total Claims
458
Beneficiaries
2
Codes Billed
2021-02
First Month
2024-09
Last Month

Provider Details

Authorized OfficialRIVERA CAMACHO, LILLIAM (PRESIDENT)
NPI Enumeration Date08/15/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 162 $1K
2022 309 $6K
2024 48 $638.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 448 428 $5K
D7140 Extraction, erupted tooth or exposed root 71 30 $3K