Medicaid Provider Spending

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

RIA FLORES-TAMAYO,D.D.S., INC.

NPI: 1831357649 · GOODYEAR, AZ 85395 · Dental Clinic/Center · NPI assigned 05/29/2008

$1K
Total Medicaid Paid
463
Total Claims
424
Beneficiaries
6
Codes Billed
2018-02
First Month
2019-05
Last Month

Provider Details

Authorized OfficialTAMAYO, OLIVA RIA (PRESIDENT)
NPI Enumeration Date05/29/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 395 $982.75
2019 68 $51.81

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 201 183 $323.44
D0230 Intraoral - periapical each additional radiographic image 110 91 $213.80
D0120 Periodic oral evaluation - established patient 68 68 $201.82
D0274 Bitewings - four radiographic images 43 42 $157.67
D1110 Prophylaxis - adult 27 27 $125.80
D1208 Topical application of fluoride, excluding varnish 14 13 $12.03