Medicaid Provider Spending

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

WHELAN LOK DDS, INC

NPI: 1023409463 · EL MONTE, CA 91733 · General Practice Dentistry · NPI assigned 02/06/2015

$12K
Total Medicaid Paid
860
Total Claims
469
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialCASTILLO, VERONICA (MANAGER)
NPI Enumeration Date02/06/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 521 $7K
2019 254 $5K
2021 85 $835.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 150 149 $5K
D1120 Prophylaxis - child 98 98 $3K
D0230 Intraoral - periapical each additional radiographic image 481 96 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 18 13 $1K
D1208 Topical application of fluoride, excluding varnish 64 64 $564.00
D0272 Bitewings - two radiographic images 49 49 $506.00