Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › CHANTILLY › FONTES, FERNANDA

FONTES, FERNANDA

NPI: 1740300904 · CHANTILLY, VA 20151 · Pediatric Dentist · NPI assigned 03/30/2007

$975.40
Total Medicaid Paid
40
Total Claims
40
Beneficiaries
3
Codes Billed
2021-04
First Month
2021-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 40 $975.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12 12 $402.24
D1208 Topical application of fluoride, excluding varnish 14 14 $291.06
D0120 Periodic oral evaluation - established patient 14 14 $282.10