Medicaid Provider Spending

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

PEDIATRIC DENTAL CLINIC DRA. YADIRA GARCIA SOTOMAYOR, P.S.C.

NPI: 1548325137 · ARECIBO, PR 00612 · Pediatric Dentist · NPI assigned 12/26/2006

$81K
Total Medicaid Paid
4,997
Total Claims
3,318
Beneficiaries
9
Codes Billed
2022-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGARCIA, YADIRA (OWNER)
NPI Enumeration Date12/26/2006

Related Entities

Other providers sharing the same authorized official: GARCIA, YADIRA

ProviderCityStateTotal Paid
GCM HCS PROGRAM INC MISSION TX $28K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 499 $8K
2023 1,474 $23K
2024 3,024 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 1,736 1,194 $23K
D1120 Prophylaxis - child 875 618 $16K
D1208 Topical application of fluoride, excluding varnish 984 689 $13K
D0150 Comprehensive oral evaluation - new or established patient 382 319 $8K
D0120 Periodic oral evaluation - established patient 564 348 $8K
D7140 Extraction, erupted tooth or exposed root 92 26 $7K
D2150 Silver amalgam - two surfaces, primary or permanent 61 27 $2K
D1351 Sealant - per tooth 164 15 $2K
D0272 Bitewings - two radiographic images 139 82 $2K