Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › HIALEAH › SOUZA, RODRIGO

SOUZA, RODRIGO

NPI: 1891958146 · HIALEAH, FL 33013 · Student in an Organized Health Care Education/Training Program · NPI assigned 07/08/2008

$1K
Total Medicaid Paid
305
Total Claims
305
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 305 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 50 50 $927.10
D1120 Prophylaxis - child 58 58 $68.37
D1206 Topical application of fluoride varnish 92 92 $68.37
D0220 Intraoral - periapical first radiographic image 48 48 $0.00
D1110 Prophylaxis - adult 12 12 $0.00
D0274 Bitewings - four radiographic images 12 12 $0.00
D0230 Intraoral - periapical each additional radiographic image 33 33 $0.00