Medicaid Provider Spending

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

LOMANTO, ALDO

NPI: 1689717654 · MORRIS PLAINS, NJ 07950 · Dentist · NPI assigned 02/15/2007

$15K
Total Medicaid Paid
378
Total Claims
376
Beneficiaries
9
Codes Billed
2024-03
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 378 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 72 71 $4K
D0330 Panoramic radiographic image 56 56 $4K
D0120 Periodic oral evaluation - established patient 73 72 $3K
D0274 Bitewings - four radiographic images 30 30 $1K
D1120 Prophylaxis - child 16 16 $675.00
D0220 Intraoral - periapical first radiographic image 55 55 $555.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $540.00
D1206 Topical application of fluoride varnish 16 16 $480.00
D0230 Intraoral - periapical each additional radiographic image 48 48 $456.00