Medicaid Provider Spending

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

RUIZ-SARDELLI, BERTHA

NPI: 1790766236 · PASSAIC, NJ 07055 · Dentist · NPI assigned 11/10/2005

$24K
Total Medicaid Paid
1,861
Total Claims
1,858
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 223 $3K
2019 447 $5K
2020 140 $2K
2021 149 $2K
2022 282 $4K
2023 287 $4K
2024 333 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 773 773 $15K
D0120 Periodic oral evaluation - established patient 256 256 $5K
D0220 Intraoral - periapical first radiographic image 443 441 $2K
D0230 Intraoral - periapical each additional radiographic image 351 350 $2K
D0150 Comprehensive oral evaluation - new or established patient 26 26 $520.00
D0274 Bitewings - four radiographic images 12 12 $108.00