Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › WEST ROXBURY › GUSTAVO PERDOMO DMD PC

GUSTAVO PERDOMO DMD PC

NPI: 1578042669 · WEST ROXBURY, MA 02132 · 122300000X

$319.00
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2023-09
First Month
2023-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 12 $319.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 12 12 $319.00