Medicaid Provider Spending

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

IFEATU NNEBE DDS INC

NPI: 1073084844 · FOLSOM, CA 95630 · Dentist · NPI assigned 12/05/2018

$27K
Total Medicaid Paid
578
Total Claims
564
Beneficiaries
6
Codes Billed
2019-05
First Month
2023-01
Last Month

Provider Details

Authorized OfficialNNEBE, IFEATU (PRESIDENT)
NPI Enumeration Date12/05/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $858.00
2020 163 $7K
2021 206 $10K
2022 182 $9K
2023 14 $214.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 149 149 $10K
D1110 Prophylaxis - adult 76 76 $7K
D0210 Intraoral - complete series of radiographic images 113 113 $5K
D1206 Topical application of fluoride varnish 142 142 $2K
D9430 72 60 $2K
D0230 Intraoral - periapical each additional radiographic image 26 24 $413.10