Medicaid Provider Spending

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

CARLOS R TORRES DDS & SONIA CASTELLON DDS INC

NPI: 1043228901 · PANORAMA CITY, CA 91402 · Dentist · NPI assigned 08/04/2006

$21K
Total Medicaid Paid
1,295
Total Claims
525
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialCASTELLON, SONIA (VICE PRESIDENT)
NPI Enumeration Date08/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 363 $3K
2019 102 $2K
2020 13 $585.00
2021 288 $2K
2022 245 $5K
2023 185 $5K
2024 99 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 182 180 $9K
D1110 Prophylaxis - adult 73 73 $5K
D0230 Intraoral - periapical each additional radiographic image 949 181 $4K
D0272 Bitewings - two radiographic images 67 67 $804.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $792.00
D1120 Prophylaxis - child 12 12 $630.00