Medicaid Provider Spending

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

ROBERT HERRERA DDS PC

NPI: 1639270861 · OKEMOS, MI 48864 · Dentist · NPI assigned 09/26/2006

$54K
Total Medicaid Paid
1,898
Total Claims
1,898
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHERRERA, ROBERT (DENTIST)
NPI Enumeration Date09/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 535 $15K
2019 351 $10K
2020 272 $8K
2021 212 $6K
2022 111 $3K
2023 228 $6K
2024 189 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 852 852 $22K
D1208 Topical application of fluoride, excluding varnish 580 580 $13K
D1120 Prophylaxis - child 338 338 $13K
D1110 Prophylaxis - adult 90 90 $5K
D0274 Bitewings - four radiographic images 25 25 $805.00
D0272 Bitewings - two radiographic images 13 13 $264.00