Medicaid Provider Spending

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

DE LA ROSA, REBECCA

NPI: 1669537213 · AVON, IN 46123 · General Practice Dentistry · NPI assigned 12/26/2006

$2K
Total Medicaid Paid
82
Total Claims
80
Beneficiaries
2
Codes Billed
2018-05
First Month
2018-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 82 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 50 49 $1K
D1110 Prophylaxis - adult 32 31 $716.25