Medicaid Provider Spending

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

WILLIAMS- RUIZ, D'ANDRA

NPI: 1770080152 · JACKSONVILLE, FL 32256 · Student in an Organized Health Care Education/Training Program · NPI assigned 04/11/2018

$45K
Total Medicaid Paid
528
Total Claims
157
Beneficiaries
4
Codes Billed
2023-12
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 13 $5K
2024 515 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9420 76 73 $25K
D2930 Prefabricated stainless steel crown - primary tooth 400 59 $18K
D7140 Extraction, erupted tooth or exposed root 30 13 $2K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 22 12 $0.00