Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › SANTA FE › DIVINE DENTAL OF SANTA FE

DIVINE DENTAL OF SANTA FE

NPI: 1992904288 · SANTA FE, NM 87505 · Dentist · NPI assigned 07/16/2007

$59K
Total Medicaid Paid
1,974
Total Claims
1,732
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialVALDEZ, ESMAEL (CO-OWNER)
NPI Enumeration Date07/16/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,533 $46K
2019 399 $12K
2020 42 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 259 110 $13K
D0274 370 369 $9K
D1110 230 230 $8K
D1208 457 457 $7K
D2391 160 71 $7K
D0150 237 236 $6K
D0210 94 94 $4K
D1120 99 99 $3K
D0140 39 37 $1K
D0120 29 29 $547.17