Medicaid Provider Spending

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

SALIH M MAYALIDAG DENTAL CORP

NPI: 1104309798 · FRESNO, CA 93710 · Dental Clinic/Center · NPI assigned 09/11/2018

$50K
Total Medicaid Paid
2,045
Total Claims
1,711
Beneficiaries
11
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAYALIDAG, SALIH (OWNER)
NPI Enumeration Date09/11/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 66 $4K
2020 176 $1K
2021 372 $1K
2022 400 $11K
2023 250 $9K
2024 781 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 203 201 $13K
D9430 292 247 $9K
D0120 Periodic oral evaluation - established patient 120 120 $9K
D1110 Prophylaxis - adult 86 85 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 70 42 $4K
D0210 Intraoral - complete series of radiographic images 86 85 $4K
D0274 Bitewings - four radiographic images 89 89 $2K
D1120 Prophylaxis - child 25 25 $1K
D0230 Intraoral - periapical each additional radiographic image 254 122 $1K
D1999 610 485 $65.50
D0431 210 210 $0.00