Medicaid Provider Spending

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

SPECIAL CARE DENTISTRY LLC

NPI: 1548839681 · MAYAGUEZ, PR 00682 · General Practice Dentistry · NPI assigned 06/23/2021

$96K
Total Medicaid Paid
1,951
Total Claims
442
Beneficiaries
8
Codes Billed
2024-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialALEMANY, JUAN (PRESIDENT)
NPI Enumeration Date06/23/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,951 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9420 231 119 $57K
D7140 Extraction, erupted tooth or exposed root 202 26 $15K
D2140 280 33 $11K
D0230 Intraoral - periapical each additional radiographic image 891 90 $8K
D0150 Comprehensive oral evaluation - new or established patient 114 57 $3K
D0220 Intraoral - periapical first radiographic image 179 90 $2K
D1110 Prophylaxis - adult 30 15 $724.10
D1208 Topical application of fluoride, excluding varnish 24 12 $355.92