Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PR › CAROLINA › ENDODONCIA DEL NORESTE, PSC

ENDODONCIA DEL NORESTE, PSC

NPI: 1821340308 · CAROLINA, PR 00985 · Dental Clinic/Center · NPI assigned 10/09/2012

$2K
Total Medicaid Paid
159
Total Claims
131
Beneficiaries
3
Codes Billed
2018-03
First Month
2018-08
Last Month

Provider Details

Authorized OfficialFUENTES-ARROYO, GABRIEL (DMD/ ENDODONTIST)
NPI Enumeration Date10/09/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 159 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0160 63 50 $2K
D0230 Intraoral - periapical each additional radiographic image 65 50 $206.10
D0220 Intraoral - periapical first radiographic image 31 31 $56.60