Medicaid Provider Spending

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

PERALTA-SUGANO, CAMILA

NPI: 1699252833 · BERWYN, IL 60402 · Dentist · NPI assigned 07/20/2018

$1K
Total Medicaid Paid
36
Total Claims
35
Beneficiaries
2
Codes Billed
2019-03
First Month
2019-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 36 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 20 19 $820.00
D0150 Comprehensive oral evaluation - new or established patient 16 16 $336.80