Medicaid Provider Spending

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

MONICA PONCE, DDS, A PROFESSIONAL CORPORATION

NPI: 1568098309 · LAS VEGAS, NV 89148 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 03/12/2020

$4K
Total Medicaid Paid
109
Total Claims
76
Beneficiary Records
5
Codes Billed
2020-10
First Month
2023-03
Last Month

Provider Details

Authorized OfficialPONCE, MONICA (OWNER AND PROVIDER)
NPI Enumeration Date03/12/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 76 $3K
2021 14 $365.64
2023 19 $615.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 34 13 $1K
D9310 32 25 $1K
D9222 14 12 $586.30
D0150 Comprehensive oral evaluation - new or established patient 14 13 $365.64
D9610 15 13 $246.00