Medicaid Provider Spending

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

DENTAL CORPORATION OF R. PAZ, DDS., INC

NPI: 1033554787 · BALDWIN PARK, CA 91706 · Dentist · NPI assigned 05/08/2013

$6K
Total Medicaid Paid
534
Total Claims
317
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialPAZ-CASANOVA, RODY (CEO/)
Parent OrganizationDENTAL CORPORATION OF R. PAZ, DDS., INC
NPI Enumeration Date05/08/2013

Related Entities

Other providers sharing the same authorized official: PAZ-CASANOVA, RODY

ProviderCityStateTotal Paid
PAZ DENTAL GROUP INC COLTON CA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 534 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 72 71 $2K
D0230 Intraoral - periapical each additional radiographic image 308 93 $1K
D0210 Intraoral - complete series of radiographic images 27 26 $990.00
D1120 Prophylaxis - child 26 26 $780.00
D0150 Comprehensive oral evaluation - new or established patient 15 15 $455.00
D1110 Prophylaxis - adult 12 12 $400.00
D1208 Topical application of fluoride, excluding varnish 44 44 $332.00
D0272 Bitewings - two radiographic images 30 30 $270.00