Medicaid Provider Spending

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

CENTRO DE SALUD DE LARES, INC.

NPI: 1588862718 · LARES, PR 00669 · Dentist · NPI assigned 07/10/2007

$89K
Total Medicaid Paid
4,911
Total Claims
4,643
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, DAMARIS (EXECUTIVE DIRECTOR)
Parent OrganizationCENTRO DE SALUD DE LARES, INC.
NPI Enumeration Date07/10/2007

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, DAMARIS

ProviderCityStateTotal Paid
CENTRO DE SALUD DE LARES, INC. LARES PR $1.36M
CENTRO DE SALUD DE LARES, INC QUEBRADILLAS PR $846K
CENTRO DE SALUD DE LARES, INC. QUEBRADILLAS PR $347K
CENTRO DE SALUD DE LARES,INC. QUEBRADILLAS PR $235K
CENTRO DE SALUD DE LARES, INC. QUEBRADILLAS PR $214K
CENTRO DE SALUD DE LARES, INC. LARES PR $82K
SERENITY COUNSELING AND SERVICES. LLC NEW HAVEN CT $65K
CENTRO DE SALUD DE LARES, INC. QUEBRADILLAS PR $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,046 $53K
2019 105 $2K
2021 363 $6K
2022 1,216 $23K
2024 181 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,018 941 $24K
D0150 Comprehensive oral evaluation - new or established patient 1,087 1,007 $19K
D0330 Panoramic radiographic image 633 613 $16K
D1999 642 605 $8K
D1208 Topical application of fluoride, excluding varnish 482 473 $7K
D1120 Prophylaxis - child 260 252 $4K
D0120 Periodic oral evaluation - established patient 283 278 $3K
D0272 Bitewings - two radiographic images 211 209 $3K
D7140 Extraction, erupted tooth or exposed root 84 72 $2K
D2140 62 50 $2K
D2940 63 60 $1K
D2150 Silver amalgam - two surfaces, primary or permanent 36 34 $881.30
D0140 Limited oral evaluation - problem focused 50 49 $566.30