Medicaid Provider Spending

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

BELLO-RIVERA, CAROLINA

NPI: 1922566827 · PATILLAS, PR 00723 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/10/2019

$6K
Total Medicaid Paid
312
Total Claims
274
Beneficiaries
4
Codes Billed
2022-09
First Month
2024-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 132 $3K
2023 109 $2K
2024 71 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1999 166 144 $2K
D1110 Prophylaxis - adult 71 63 $2K
D0120 Periodic oral evaluation - established patient 49 42 $710.98
D0272 Bitewings - two radiographic images 26 25 $383.57