Medicaid Provider Spending

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

LOPEZ, MELVIN

NPI: 1689081242 · PALATKA, FL 32177 · General Practice Dentistry · NPI assigned 07/16/2014

$7K
Total Medicaid Paid
624
Total Claims
614
Beneficiaries
11
Codes Billed
2022-03
First Month
2022-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 624 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 50 50 $2K
D0274 Bitewings - four radiographic images 39 39 $2K
D1120 Prophylaxis - child 33 33 $2K
D0120 Periodic oral evaluation - established patient 91 90 $1K
D0272 Bitewings - two radiographic images 31 30 $43.12
D0220 Intraoral - periapical first radiographic image 83 81 $5.95
D1206 Topical application of fluoride varnish 84 84 $0.00
D0230 Intraoral - periapical each additional radiographic image 80 75 $0.00
D1330 88 88 $0.00
D0603 14 14 $0.00
D0601 31 30 $0.00