Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › ORANGE › VITAL SMILES ALABAMA II PC

VITAL SMILES ALABAMA II PC

NPI: 1013474535 · ORANGE, CA 92868 · Dentist · NPI assigned 02/21/2019

$29.07M
Total Medicaid Paid
1,200,736
Total Claims
1,039,449
Beneficiaries
37
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLESSO, ROSA (NATIONAL DIRECTOR OF RCM)
NPI Enumeration Date02/21/2019

Related Entities

Other providers sharing the same authorized official: LESSO, ROSA

ProviderCityStateTotal Paid
SPECIALTY DENTAL PARTNERS OF PHILADELPHIA PLLC WILLOW GROVE PA $2.79M
WESTERN DENTAL SERVICES, INC. ORANGE CA $2.23M
SOUMAVA SEN, DDS, P.C. HOUSTON TX $380K
WESTERN DENTAL OF AZ, INC. ORANGE CA $35K
BRIDENT NEVADA EMILY LEE DDS PC ORANGE CA $6K
BRIDENT DDS PC ORANGE CA $0.02
SOUMAVA SEN, DDS, P.C. ORANGE CA $0.00
BRIDENT DENTAL ASSOCIATES PC ORANGE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 144,511 $3.61M
2020 196,312 $4.61M
2021 240,856 $6.43M
2022 232,503 $5.82M
2023 192,396 $4.83M
2024 194,158 $3.78M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 40,965 18,278 $3.82M
D1120 Prophylaxis - child 139,856 129,406 $3.46M
D0120 Periodic oral evaluation - established patient 204,286 188,840 $3.39M
D1208 Topical application of fluoride, excluding varnish 220,372 203,627 $2.82M
D1999 158,210 147,138 $2.71M
D1110 Prophylaxis - adult 70,024 64,427 $2.25M
D0330 Panoramic radiographic image 48,935 45,187 $2.00M
D0272 Bitewings - two radiographic images 84,655 78,354 $1.26M
D2150 Silver amalgam - two surfaces, primary or permanent 19,616 11,871 $1.05M
D0274 Bitewings - four radiographic images 44,568 40,951 $873K
D1351 Sealant - per tooth 35,420 9,100 $729K
D7140 Extraction, erupted tooth or exposed root 13,151 8,107 $625K
D2140 14,870 10,004 $604K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8,782 5,044 $556K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 1,041 901 $505K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 7,242 4,119 $503K
D0220 Intraoral - periapical first radiographic image 29,547 26,771 $280K
D0150 Comprehensive oral evaluation - new or established patient 12,838 11,631 $272K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5,145 3,187 $267K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2,981 1,871 $222K
D0140 Limited oral evaluation - problem focused 8,373 7,444 $202K
D2160 2,597 1,637 $167K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 6,939 6,279 $131K
D1206 Topical application of fluoride varnish 6,761 5,835 $111K
D0145 Oral evaluation for a patient under three years of age 4,735 4,230 $91K
D2950 607 503 $52K
D3120 2,197 1,460 $36K
D0230 Intraoral - periapical each additional radiographic image 4,358 2,270 $28K
D2330 559 329 $16K
D2740 Crown - porcelain/ceramic 61 39 $12K
D0210 Intraoral - complete series of radiographic images 352 277 $8K
D1354 377 119 $8K
D7240 Removal of impacted tooth - completely bony 88 26 $4K
D2335 85 62 $3K
D2920 51 40 $516.00
D2332 19 12 $0.00
D0601 73 73 $0.00