Medicaid Provider Spending

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

MC DENTAL CARE OF EDINBURG 2, PLLC

NPI: 1871080374 · EDINBURG, TX 78539 · General Practice Dentistry · NPI assigned 04/19/2018

$19K
Total Medicaid Paid
1,749
Total Claims
1,462
Beneficiaries
9
Codes Billed
2020-12
First Month
2024-09
Last Month

Provider Details

Authorized OfficialCHAVEZ, MARITZA (DENTIST OWNER)
NPI Enumeration Date04/19/2018

Related Entities

Other providers sharing the same authorized official: CHAVEZ, MARITZA

ProviderCityStateTotal Paid
MC DENTAL CARE OF MISSION, PLLC MCALLEN TX $795K
MC DENTAL CARE PLLC MCALLEN TX $246K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $0.00
2021 132 $1K
2022 819 $10K
2023 443 $5K
2024 340 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 515 243 $5K
D0220 Intraoral - periapical first radiographic image 293 286 $3K
D0350 223 221 $3K
D0274 Bitewings - four radiographic images 84 83 $2K
D0120 Periodic oral evaluation - established patient 69 69 $2K
D1208 Topical application of fluoride, excluding varnish 135 132 $2K
D1110 Prophylaxis - adult 29 29 $1K
D0150 Comprehensive oral evaluation - new or established patient 15 15 $461.67
D0603 386 384 $0.00