Medicaid Provider Spending

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

ALLEN DENTAL CORPORTATION

NPI: 1104008721 · CHINO, CA 91710 · Dental Clinic/Center · NPI assigned 12/05/2007

$53K
Total Medicaid Paid
3,724
Total Claims
2,461
Beneficiaries
8
Codes Billed
2018-02
First Month
2024-07
Last Month

Provider Details

Authorized OfficialALLEN, ROSALINDA (OWNER)
NPI Enumeration Date12/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,212 $16K
2019 1,057 $15K
2020 570 $7K
2021 180 $2K
2022 266 $5K
2023 166 $3K
2024 273 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 538 532 $18K
D0120 Periodic oral evaluation - established patient 404 404 $17K
D0230 Intraoral - periapical each additional radiographic image 1,861 623 $8K
D1208 Topical application of fluoride, excluding varnish 498 492 $5K
D0274 Bitewings - four radiographic images 162 162 $3K
D0220 Intraoral - periapical first radiographic image 115 109 $1K
D0350 18 12 $102.00
D1999 128 127 $15.00