Medicaid Provider Spending

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

COMPREHENSIVE DENTAL CARE

NPI: 1003191982 · INGLEWOOD, CA 90301 · Dental Clinic/Center · NPI assigned 10/11/2011

$18K
Total Medicaid Paid
752
Total Claims
443
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialHERRERA, LUIS (PRESIDENT/OWNER)
NPI Enumeration Date10/11/2011

Related Entities

Other providers sharing the same authorized official: HERRERA, LUIS

ProviderCityStateTotal Paid
LUIS O HERRERA FREEPORT NY $907K
LABORATORIO CLINICO SANTA CRUZ CORP. TRUJILLO ALTO PR $644K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 584 $7K
2019 39 $2K
2020 28 $2K
2021 12 $792.00
2022 36 $2K
2023 53 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 220 220 $12K
D0210 Intraoral - complete series of radiographic images 74 74 $3K
D0230 Intraoral - periapical each additional radiographic image 385 76 $1K
D0272 Bitewings - two radiographic images 73 73 $731.50