Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › SAN JUAN › ODONTOLOGIA GENERAL Y PEDIATRICA

ODONTOLOGIA GENERAL Y PEDIATRICA

NPI: 1700949013 · SAN JUAN, PR 00918 · Pediatric Dentist · NPI assigned 12/18/2006

$72K
Total Medicaid Paid
3,804
Total Claims
3,284
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialMARTINEZ, CARLOS (DUENO)
NPI Enumeration Date12/18/2006

Related Entities

Other providers sharing the same authorized official: MARTINEZ, CARLOS

ProviderCityStateTotal Paid
UNITED HOME CARE SERVICES, INC. DORAL FL $93.77M
UNITED HOMECARE SERVICES, INC. DORAL FL $4.11M
OUTSIDES'S CAR SERVICE INC BRONX NY $354K
CARLOS S MARTINEZ MD INC LOS ANGELES CA $90K
CAROLINA DENTAL GROUP CAROLINA PR $40K
C L A DENTAL GROUP SAN JUAN PR $3K
EYE PHYSICIANS OF LONG BEACH A MEDICAL GROUP INC. LONG BEACH CA $2K
CARLOS T J MARTINEZ, DO INC RANCHO CUCAMONGA CA $147.97
CARLOS JAVIER MARTINEZ, O.D., P.C. BOUND BROOK NJ $0.00
CLINICA MEDICA MI FAMILIA DE PALMDALE, INC. PALMDALE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 508 $8K
2019 426 $7K
2020 469 $11K
2021 800 $14K
2022 796 $16K
2023 385 $8K
2024 420 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,269 1,089 $34K
D1999 1,256 1,087 $19K
D0120 Periodic oral evaluation - established patient 623 519 $8K
D0272 Bitewings - two radiographic images 410 371 $6K
D0150 Comprehensive oral evaluation - new or established patient 141 127 $3K
D0330 Panoramic radiographic image 91 77 $2K
D1208 Topical application of fluoride, excluding varnish 14 14 $189.00