Medicaid Provider Spending

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

PAULA C SERVICIOS DENTAES, CSP

NPI: 1942401526 · LAJAS, PR 00667 · General Practice Dentistry · NPI assigned 05/30/2007

$26K
Total Medicaid Paid
2,263
Total Claims
1,687
Beneficiaries
9
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialMATTEI-MOLINI, JAN (DENTIST)
NPI Enumeration Date05/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,359 $14K
2019 864 $11K
2020 40 $817.61

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 583 524 $12K
D0272 Bitewings - two radiographic images 327 287 $4K
D0120 Periodic oral evaluation - established patient 358 329 $4K
D0150 Comprehensive oral evaluation - new or established patient 137 101 $2K
D1208 Topical application of fluoride, excluding varnish 154 125 $2K
D0230 Intraoral - periapical each additional radiographic image 452 119 $1K
D0220 Intraoral - periapical first radiographic image 191 161 $806.46
D2140 28 13 $644.74
D1120 Prophylaxis - child 33 28 $560.20