Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SAN CLEMENTE
› EDALAT DDS INC.
EDALAT DDS INC.
NPI: 1013577071 · SAN CLEMENTE, CA 92672 ·
1223E0200X
$1.84M
Total Medicaid Paid
20,141
Total Claims
19,245
Beneficiaries
11
Codes Billed
2020-02
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
1,355
$117K
2021
3,523
$317K
2022
4,343
$392K
2023
5,345
$510K
2024
5,575
$509K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D3330
1,854
1,667
$856K
D0150
4,063
4,055
$268K
D0210
4,052
4,045
$193K
D3348
355
327
$164K
D9430
4,293
3,929
$137K
D3320
324
286
$118K
D0330
2,587
2,572
$75K
D0220
1,231
1,153
$14K
D3310
36
25
$11K
D0230
1,309
1,149
$5K
D0120
37
37
$2K