Medicaid Provider Spending

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

FELICIANO, JACKELINE

NPI: 1811000680 · TOA BAJA, PR 00949 · General Practice Dentistry · NPI assigned 08/16/2006

$37K
Total Medicaid Paid
1,955
Total Claims
1,810
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 43 $1K
2021 221 $4K
2022 375 $7K
2023 748 $13K
2024 568 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 579 552 $16K
D1999 922 819 $13K
D0120 Periodic oral evaluation - established patient 168 168 $3K
D0272 Bitewings - two radiographic images 165 151 $2K
D0150 Comprehensive oral evaluation - new or established patient 85 84 $2K
D0330 Panoramic radiographic image 36 36 $1K