Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DENTAL PARK OF SAN JUAN PLLC
NPI: 1558969790 · SAN JUAN, TX 78589 ·
122300000X
$11K
Total Medicaid Paid
705
Total Claims
456
Beneficiaries
9
Codes Billed
2021-07
First Month
2021-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
705
$11K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1351
185
35
$5K
D0150
74
73
$2K
D0230
149
57
$1K
D1120
37
37
$1K
D1208
62
61
$852.60
D0220
59
58
$536.30
D0330
33
32
$335.00
D0272
13
13
$163.66
D0603
93
90
$0.00