Medicaid Provider Spending

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

M URIBE DDS INC

NPI: 1740522465 · BLOOMINGTON, CA 92316 · Dentist · NPI assigned 03/20/2013

$26K
Total Medicaid Paid
2,589
Total Claims
1,073
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialURIBE, MIGUEL (PRESIDENT)
NPI Enumeration Date03/20/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,589 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 196 195 $9K
D0230 Intraoral - periapical each additional radiographic image 1,868 367 $7K
D0274 Bitewings - four radiographic images 200 199 $4K
D1120 Prophylaxis - child 60 60 $2K
D2150 Silver amalgam - two surfaces, primary or permanent 25 12 $2K
D0120 Periodic oral evaluation - established patient 82 82 $1K
D1208 Topical application of fluoride, excluding varnish 144 144 $1K
D1110 Prophylaxis - adult 14 14 $320.00