Medicaid Provider Spending

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

REYES DE LOBOS, MARIBEL

NPI: 1548232291 · CHICAGO, IL 60612 · Pediatric Dentist · NPI assigned 02/06/2006

$3K
Total Medicaid Paid
170
Total Claims
156
Beneficiaries
5
Codes Billed
2020-03
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 40 $381.80
2024 130 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 25 25 $1K
D0120 Periodic oral evaluation - established patient 26 26 $735.00
D1208 Topical application of fluoride, excluding varnish 25 25 $682.50
D0230 Intraoral - periapical each additional radiographic image 42 36 $574.44
D0220 Intraoral - periapical first radiographic image 52 44 $310.30