Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › GUAYNABO › COMAS, LUCEMILLE

COMAS, LUCEMILLE

NPI: 1811047061 · GUAYNABO, PR 00969 · Dentist · NPI assigned 01/11/2007

$18K
Total Medicaid Paid
1,123
Total Claims
1,015
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,123 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 257 230 $5K
D0330 Panoramic radiographic image 158 141 $4K
D0272 Bitewings - two radiographic images 237 212 $3K
D0150 Comprehensive oral evaluation - new or established patient 167 150 $2K
D0120 Periodic oral evaluation - established patient 164 150 $2K
D1208 Topical application of fluoride, excluding varnish 111 103 $1K
D1120 Prophylaxis - child 29 29 $437.40