Medicaid Provider Spending

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

TERESA AVENDANO-GALVEZ DMD INC

NPI: 1033756465 · LONG BEACH, CA 90810 · Dental Clinic/Center · NPI assigned 12/04/2019

$7K
Total Medicaid Paid
239
Total Claims
129
Beneficiaries
5
Codes Billed
2020-09
First Month
2021-03
Last Month

Provider Details

Authorized OfficialAVENDANO-GALVEZ, TERESA (CEO/DENTIST)
NPI Enumeration Date12/04/2019

Related Entities

Other providers sharing the same authorized official: AVENDANO-GALVEZ, TERESA

ProviderCityStateTotal Paid
TERESA M. AVENDANO-GALVEZ,DMD, A PROFESSIONAL CORPORATION GARDENA CA $199K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 215 $5K
2021 24 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 69 69 $5K
D1110 Prophylaxis - adult 12 12 $1K
D0210 Intraoral - complete series of radiographic images 12 12 $576.00
D0230 Intraoral - periapical each additional radiographic image 134 24 $542.70
D0220 Intraoral - periapical first radiographic image 12 12 $144.00