Medicaid Provider Spending

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

ADVANCED ENDODONTIC CENTER LLC

NPI: 1720751548 · BAYAMON, PR 00959 · Periodontist · NPI assigned 07/28/2021

$67K
Total Medicaid Paid
1,180
Total Claims
610
Beneficiaries
6
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, SEBASTIAN (PRESIDENTE)
NPI Enumeration Date07/28/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 58 $602.48
2024 1,122 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D3320 114 57 $45K
D3310 35 13 $10K
D1999 452 246 $6K
D0140 Limited oral evaluation - problem focused 218 93 $3K
D0220 Intraoral - periapical first radiographic image 334 188 $3K
D0230 Intraoral - periapical each additional radiographic image 27 13 $234.36