Medicaid Provider Spending

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

PEREZ&ALVARDO DENTAL OFFICE

NPI: 1912128380 · BARRANQUITAS, PR 00794 · General Practice Dentistry · NPI assigned 05/01/2007

$38K
Total Medicaid Paid
2,446
Total Claims
1,775
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPEREZ, MITZY (VICEPRESIDENT)
NPI Enumeration Date05/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 926 $13K
2019 471 $7K
2021 13 $188.63
2022 130 $2K
2023 358 $6K
2024 548 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 497 344 $13K
D1999 680 530 $10K
D0120 Periodic oral evaluation - established patient 403 268 $5K
D0272 Bitewings - two radiographic images 207 171 $3K
D2150 Silver amalgam - two surfaces, primary or permanent 85 38 $2K
D1208 Topical application of fluoride, excluding varnish 109 80 $1K
D0220 Intraoral - periapical first radiographic image 159 125 $930.16
D0230 Intraoral - periapical each additional radiographic image 201 144 $851.88
D0150 Comprehensive oral evaluation - new or established patient 58 46 $841.22
D1120 Prophylaxis - child 47 29 $774.20