Medicaid Provider Spending

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

FRATT DENTAL CORPORATION

NPI: 1063620557 · BURBANK, CA 91502 · General Practice Dentistry · NPI assigned 05/18/2007

$3K
Total Medicaid Paid
610
Total Claims
377
Beneficiaries
9
Codes Billed
2018-03
First Month
2023-04
Last Month

Provider Details

Authorized OfficialFRATT, DENNIS (OWNER)
NPI Enumeration Date05/18/2007

Related Entities

Other providers sharing the same authorized official: FRATT, DENNIS

ProviderCityStateTotal Paid
FRATT DENTAL CORPORATION SOUTH GATE CA $260.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 226 $348.00
2019 154 $238.00
2020 107 $189.45
2021 67 $2K
2022 32 $33.60
2023 24 $36.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 60 60 $2K
D0210 Intraoral - complete series of radiographic images 45 45 $293.00
D0120 Periodic oral evaluation - established patient 41 41 $290.00
D1120 Prophylaxis - child 28 28 $252.00
D0230 Intraoral - periapical each additional radiographic image 374 141 $118.65
D1110 Prophylaxis - adult 12 12 $44.00
D0220 Intraoral - periapical first radiographic image 12 12 $24.00
D0274 Bitewings - four radiographic images 13 13 $0.00
D1999 25 25 $0.00