V.MAI DDS INC
NPI: 1053755942
· SAN CLEMENTE, CA 92673
· Public Health Dentist
· NPI assigned 04/22/2013
$258K
Total Medicaid Paid
Provider Details
| Authorized Official | MAI, VU (CEO) |
| NPI Enumeration Date | 04/22/2013 |
Related Entities
Other providers sharing the same authorized official: MAI, VU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,167 |
$50K |
| 2019 |
4,230 |
$58K |
| 2020 |
2,571 |
$35K |
| 2021 |
2,779 |
$36K |
| 2022 |
2,776 |
$33K |
| 2023 |
2,594 |
$33K |
| 2024 |
1,058 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
13,943 |
1,804 |
$58K |
| D1110 |
Prophylaxis - adult |
704 |
702 |
$58K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
763 |
762 |
$45K |
| D0120 |
Periodic oral evaluation - established patient |
691 |
691 |
$39K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,710 |
1,696 |
$21K |
| D0272 |
Bitewings - two radiographic images |
1,757 |
1,746 |
$21K |
| D1120 |
Prophylaxis - child |
409 |
409 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
114 |
99 |
$1K |
| D9430 |
|
13 |
13 |
$416.00 |
| D0350 |
|
26 |
13 |
$144.00 |
| D1999 |
|
45 |
43 |
$0.00 |