Medicaid Provider Spending

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

ETEMAD DENTAL INC

NPI: 1063115970 · NEWPORT BEACH, CA 92660 · General Practice Dentistry · NPI assigned 03/22/2023

$11K
Total Medicaid Paid
261
Total Claims
186
Beneficiaries
4
Codes Billed
2023-07
First Month
2024-09
Last Month

Provider Details

Authorized OfficialETEMAD, ABRAK (OWNER / DENTIST)
NPI Enumeration Date03/22/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 76 $2K
2024 185 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 77 74 $5K
D1110 Prophylaxis - adult 45 40 $3K
D0210 Intraoral - complete series of radiographic images 47 47 $2K
D0350 92 25 $864.00