Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › NORTH PLAINFIELD › MALDONADO, JUAN

MALDONADO, JUAN

NPI: 1790908101 · NORTH PLAINFIELD, NJ 07060 · General Practice Dentistry · NPI assigned 04/11/2007

$414.00
Total Medicaid Paid
39
Total Claims
39
Beneficiaries
3
Codes Billed
2022-04
First Month
2022-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 39 $414.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 12 12 $330.00
D0220 Intraoral - periapical first radiographic image 15 15 $45.00
D0230 Intraoral - periapical each additional radiographic image 12 12 $39.00