Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › UPLAND › RANIA N. REFAAT, DDS, A PROF. DENTAL CORP

RANIA N. REFAAT, DDS, A PROF. DENTAL CORP

NPI: 1043556426 · UPLAND, CA 91786 · Dental Clinic/Center · NPI assigned 12/12/2012

$3K
Total Medicaid Paid
92
Total Claims
80
Beneficiaries
5
Codes Billed
2018-02
First Month
2020-06
Last Month

Provider Details

Authorized OfficialREFAAT, RANIA (OWNER/DENTIST/PRESIDENT)
NPI Enumeration Date12/12/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38 $2K
2020 54 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 30 30 $1K
D0210 Intraoral - complete series of radiographic images 12 12 $470.00
D0150 Comprehensive oral evaluation - new or established patient 13 13 $446.25
D1120 Prophylaxis - child 12 12 $360.00
D0230 Intraoral - periapical each additional radiographic image 25 13 $101.25