Medicaid Provider Spending

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

STEVEN ZAMBRANO, DDS, PLLC

NPI: 1902201080 · SOMERVILLE, TN 38068 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/30/2014

$3K
Total Medicaid Paid
113
Total Claims
113
Beneficiaries
6
Codes Billed
2019-02
First Month
2019-08
Last Month

Provider Details

Authorized OfficialZAMBRANO, STEVEN (OWNER)
NPI Enumeration Date10/30/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 113 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 45 45 $922.50
D0210 Intraoral - complete series of radiographic images 12 12 $686.29
D1110 Prophylaxis - adult 13 13 $570.44
D1120 Prophylaxis - child 13 13 $443.69
D0150 Comprehensive oral evaluation - new or established patient 16 16 $351.00
D0120 Periodic oral evaluation - established patient 14 14 $341.60