Medicaid Provider Spending

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

ACOSTA DENTAL SERVICES OF LAUDERHILL P.A

NPI: 1942447396 · LAUDERDALE LAKES, FL 33313 · General Practice Dentistry · NPI assigned 01/07/2009

$8K
Total Medicaid Paid
1,299
Total Claims
963
Beneficiaries
9
Codes Billed
2022-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialACOSTA-ORTIZ, RODOLFO (OWNER)
NPI Enumeration Date01/07/2009

Related Entities

Other providers sharing the same authorized official: ACOSTA-ORTIZ, RODOLFO

ProviderCityStateTotal Paid
ACOSTA DENTAL SERVICES POMPANO BEACH FL $446K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 539 $4K
2023 374 $2K
2024 386 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 69 68 $3K
D0230 Intraoral - periapical each additional radiographic image 527 193 $2K
D0330 Panoramic radiographic image 81 81 $2K
D0150 Comprehensive oral evaluation - new or established patient 84 83 $1K
D0220 Intraoral - periapical first radiographic image 256 256 $255.02
D0274 Bitewings - four radiographic images 69 69 $206.72
D0140 Limited oral evaluation - problem focused 83 83 $141.44
D1330 94 94 $3.00
D1208 Topical application of fluoride, excluding varnish 36 36 $0.00