Medicaid Provider Spending

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

SOUTHDADE FAMILY DENTISRY

NPI: 1881888469 · CUTLER BAY, FL 33157 · Dentist · NPI assigned 08/28/2007

$481.00
Total Medicaid Paid
26
Total Claims
26
Beneficiaries
1
Codes Billed
2020-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialCORPAS, ALFREDO (OWNER/DENTIST)
NPI Enumeration Date08/28/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $481.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 26 26 $481.00