Medicaid Provider Spending

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

TYRONE F. RODRIGUEZ, D.D.S., P.L.L.C.

NPI: 1720372675 · MOSES LAKE, WA 98837 · Dentist · NPI assigned 06/07/2011

$6K
Total Medicaid Paid
228
Total Claims
193
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, TYRONE (MANAGING MEMBER)
NPI Enumeration Date06/07/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 228 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 32 12 $2K
D0120 Periodic oral evaluation - established patient 47 47 $1K
D1120 Prophylaxis - child 45 45 $1K
D1206 Topical application of fluoride varnish 47 47 $825.95
D9999 Unspecified adjunctive procedure, by report 13 13 $330.96
D0240 32 17 $258.39
D0272 Bitewings - two radiographic images 12 12 $113.19