Medicaid Provider Spending

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

SONIA CARTAGENA DDS INC

NPI: 1972610657 · CYPRESS, CA 90630 · Dentist · NPI assigned 08/25/2006

$29K
Total Medicaid Paid
2,245
Total Claims
1,317
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialCARTAGENA, SONIA (PRESIDENT)
NPI Enumeration Date08/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,245 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 1,202 299 $6K
D1120 Prophylaxis - child 189 189 $6K
D0120 Periodic oral evaluation - established patient 164 164 $5K
D0274 Bitewings - four radiographic images 215 215 $4K
D1208 Topical application of fluoride, excluding varnish 315 313 $3K
D1110 Prophylaxis - adult 49 49 $3K
D0350 97 74 $1K
D0150 Comprehensive oral evaluation - new or established patient 14 14 $490.00