Medicaid Provider Spending

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

ELIZA BERRIS DDS II INC.

NPI: 1063177996 · LA HABRA, CA 90631 · Dentist · NPI assigned 11/04/2021

$4K
Total Medicaid Paid
110
Total Claims
57
Beneficiaries
4
Codes Billed
2024-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialBERRIS, ELIZA (PRESIDENT)
NPI Enumeration Date11/04/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 110 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 37 13 $2K
D0150 Comprehensive oral evaluation - new or established patient 15 15 $990.00
D0210 Intraoral - complete series of radiographic images 15 15 $672.00
D0350 43 14 $230.40