Medicaid Provider Spending

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

ROCHA, NICOLE

NPI: 1972044303 · HAMILTON, NJ 08619 · Dentist · NPI assigned 03/18/2017

$7K
Total Medicaid Paid
229
Total Claims
227
Beneficiaries
6
Codes Billed
2019-05
First Month
2021-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 85 $3K
2020 58 $1K
2021 86 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 107 105 $3K
D1206 Topical application of fluoride varnish 59 59 $2K
D1120 Prophylaxis - child 26 26 $1K
D1110 Prophylaxis - adult 13 13 $585.00
D1208 Topical application of fluoride, excluding varnish 12 12 $300.00
D0274 Bitewings - four radiographic images 12 12 $144.00