Medicaid Provider Spending

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

JOHN H. ORTIZ-LUIS, DMD, INC.

NPI: 1659811883 · STEVENSON RANCH, CA 91381 · Dentist · NPI assigned 03/07/2017

$2K
Total Medicaid Paid
67
Total Claims
66
Beneficiaries
2
Codes Billed
2023-07
First Month
2024-08
Last Month

Provider Details

Authorized OfficialORTIZ-LUIS, JOHN (PRESIDENT/OWNER)
NPI Enumeration Date03/07/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 24 $350.00
2024 43 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 13 12 $1K
D1208 Topical application of fluoride, excluding varnish 54 54 $809.50