Medicaid Provider Spending

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

BARBOSA DENTAL CLINIC CSP

NPI: 1790021426 · SAN JUAN, PR 00923 · Dental Clinic/Center · NPI assigned 12/28/2012

$70K
Total Medicaid Paid
4,992
Total Claims
3,524
Beneficiaries
8
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, ANIBAL (DENTIST)
NPI Enumeration Date12/28/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 584 $5K
2020 240 $5K
2021 1,133 $16K
2022 932 $14K
2023 998 $13K
2024 1,105 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 1,792 1,442 $27K
D1110 Prophylaxis - adult 653 585 $18K
D0230 Intraoral - periapical each additional radiographic image 1,374 418 $10K
D0150 Comprehensive oral evaluation - new or established patient 254 253 $5K
D0272 Bitewings - two radiographic images 300 276 $4K
D0120 Periodic oral evaluation - established patient 222 190 $3K
D0220 Intraoral - periapical first radiographic image 381 344 $3K
D1208 Topical application of fluoride, excluding varnish 16 16 $237.28