Medicaid Provider Spending

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

CORDOVA, CHARLES

NPI: 1801084678 · SPARKS, NV 89436 · General Practice Dentistry · NPI assigned 10/05/2007

$19K
Total Medicaid Paid
695
Total Claims
284
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 695 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 163 55 $9K
D2150 Silver amalgam - two surfaces, primary or permanent 60 26 $3K
D1351 Sealant - per tooth 201 42 $2K
D2140 45 24 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 155 90 $2K
D7140 Extraction, erupted tooth or exposed root 27 16 $946.89
D0350 44 31 $574.00