Medicaid Provider Spending

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

NADGIE ORTIZ DIAZ DMD PLLC

NPI: 1750998878 · ALDIE, VA 20105 · Pediatric Dentist · NPI assigned 09/24/2020

$13K
Total Medicaid Paid
1,669
Total Claims
1,608
Beneficiaries
8
Codes Billed
2022-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialORTIZ DIAZ, NADGIE (PEDIATRIC DENTIST OWNER)
NPI Enumeration Date09/24/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 124 $4K
2023 716 $9K
2024 829 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 459 459 $6K
D1206 Topical application of fluoride varnish 554 554 $5K
D0120 Periodic oral evaluation - established patient 233 233 $1K
D0150 Comprehensive oral evaluation - new or established patient 122 122 $976.80
D0272 Bitewings - two radiographic images 26 26 $0.00
D0230 Intraoral - periapical each additional radiographic image 136 83 $0.00
D9920 14 12 $0.00
D0220 Intraoral - periapical first radiographic image 125 119 $0.00