Medicaid Provider Spending

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

NPI: 1023161312 · UNION CITY, CA 94587 · General Practice Dentistry · NPI assigned 01/19/2007

$283.55
Total Medicaid Paid
46
Total Claims
30
Beneficiaries
2
Codes Billed
2018-08
First Month
2018-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46 $283.55

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 15 15 $158.00
D0230 Intraoral - periapical each additional radiographic image 31 15 $125.55