Medicaid Provider Spending

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

RUIZ LUGO, PEDRO J

NPI: 1912993395 · LAJAS, PUERTO RICO 00667 · General Practice Dentistry · NPI assigned 09/21/2005

$25K
Total Medicaid Paid
1,703
Total Claims
1,613
Beneficiaries
7
Codes Billed
2018-01
First Month
2022-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 993 $13K
2019 466 $8K
2020 35 $603.48
2021 110 $2K
2022 99 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 455 441 $10K
D0120 Periodic oral evaluation - established patient 568 548 $6K
D0272 Bitewings - two radiographic images 247 246 $3K
D1999 124 101 $2K
D0140 Limited oral evaluation - problem focused 95 90 $1K
D1208 Topical application of fluoride, excluding varnish 52 52 $714.00
D0230 Intraoral - periapical each additional radiographic image 162 135 $586.80