Medicaid Provider Spending

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

GALES, SALVADOR

NPI: 1720062383 · SOUTH OZONE PARK, NY 11420 · General Practice Dentistry · NPI assigned 12/06/2005

$6K
Total Medicaid Paid
199
Total Claims
199
Beneficiaries
5
Codes Billed
2023-03
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 135 $4K
2024 64 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 92 92 $3K
D0150 Comprehensive oral evaluation - new or established patient 69 69 $2K
D0210 Intraoral - complete series of radiographic images 13 13 $403.18
D0120 Periodic oral evaluation - established patient 13 13 $262.94
D0220 Intraoral - periapical first radiographic image 12 12 $89.70