Medicaid Provider Spending

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

JUSINO CORDOVA, ARIEL

NPI: 1831263144 · VEGA BAJA, PR 00693 · General Practice Dentistry · NPI assigned 11/20/2006

$7K
Total Medicaid Paid
610
Total Claims
489
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $905.10
2019 35 $676.26
2020 191 $3K
2021 211 $2K
2022 105 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 432 348 $4K
D1110 Prophylaxis - adult 56 43 $1K
D0150 Comprehensive oral evaluation - new or established patient 47 37 $763.34
D0120 Periodic oral evaluation - established patient 50 45 $502.10
D0230 Intraoral - periapical each additional radiographic image 25 16 $194.55