Medicaid Provider Spending

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

FONTOURA, RICARDO

NPI: 1730539131 · WESLEY CHAPEL, FL 33544 · Pediatric Dentist · NPI assigned 06/16/2016

$3K
Total Medicaid Paid
268
Total Claims
258
Beneficiaries
6
Codes Billed
2022-06
First Month
2022-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 268 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 53 51 $3K
D0272 Bitewings - two radiographic images 34 32 $23.79
D0220 Intraoral - periapical first radiographic image 15 14 $5.95
D0120 Periodic oral evaluation - established patient 47 46 $0.00
D1330 67 65 $0.00
D1206 Topical application of fluoride varnish 52 50 $0.00