Medicaid Provider Spending

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

PACHON, SANDRA

NPI: 1922125137 · CLIFTON, NJ 07011 · General Practice Dentistry · NPI assigned 03/23/2007

$67K
Total Medicaid Paid
3,684
Total Claims
3,647
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 633 $11K
2019 604 $11K
2020 223 $4K
2021 155 $4K
2022 239 $6K
2023 1,184 $18K
2024 646 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 878 878 $38K
D0120 Periodic oral evaluation - established patient 461 461 $11K
D0220 Intraoral - periapical first radiographic image 1,012 978 $5K
D0274 Bitewings - four radiographic images 369 368 $4K
D0150 Comprehensive oral evaluation - new or established patient 159 159 $4K
D0210 Intraoral - complete series of radiographic images 83 83 $4K
D0230 Intraoral - periapical each additional radiographic image 549 548 $2K
D1330 173 172 $0.00