Medicaid Provider Spending

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

HISPANIC DENTAL SERVICES

NPI: 1679667539 · NEW YORK, NY 10040 · General Practice Dentistry · NPI assigned 10/03/2006

$3K
Total Medicaid Paid
163
Total Claims
161
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialSANCHEZ, SONIA (PRESIDENT)
NPI Enumeration Date10/03/2006

Related Entities

Other providers sharing the same authorized official: SANCHEZ, SONIA

ProviderCityStateTotal Paid
YOU & US ABA SERVICES LLC FORT LAUDERDALE FL $244K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 163 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 70 69 $2K
D1110 Prophylaxis - adult 12 12 $473.50
D0220 Intraoral - periapical first radiographic image 53 52 $421.80
D0230 Intraoral - periapical each additional radiographic image 28 28 $310.20