Medicaid Provider Spending

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

MIROSLAV M. STANIC D.D.S. INC

NPI: 1023169216 · VISALIA, CA 93291 · General Practice Dentistry · NPI assigned 01/15/2007

$15K
Total Medicaid Paid
192
Total Claims
133
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialSTANIC, MIROSLAV (PRESIDENT)
NPI Enumeration Date01/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 192 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D3330 Endodontic therapy, molar tooth (excluding final restoration) 29 28 $13K
D0150 Comprehensive oral evaluation - new or established patient 30 30 $1K
D0230 Intraoral - periapical each additional radiographic image 106 48 $317.70
D0270 27 27 $135.00