Medicaid Provider Spending

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

CAZALI AND GALVEZ DDS INC

NPI: 1104522671 · PICO RIVERA, CA 90660 · General Practice Dentistry · NPI assigned 02/06/2023

$23K
Total Medicaid Paid
473
Total Claims
425
Beneficiaries
6
Codes Billed
2023-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCAZALI, ROLANDO (PRESIDENT)
NPI Enumeration Date02/06/2023

Related Entities

Other providers sharing the same authorized official: CAZALI, ROLANDO

ProviderCityStateTotal Paid
ROLANDO JOSE CAZALI DDS INC COVINA CA $32K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 332 $15K
2024 141 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 259 259 $17K
D0210 Intraoral - complete series of radiographic images 99 99 $5K
D1120 Prophylaxis - child 19 17 $840.00
D1208 Topical application of fluoride, excluding varnish 16 16 $320.50
D0230 Intraoral - periapical each additional radiographic image 68 22 $275.40
D0220 Intraoral - periapical first radiographic image 12 12 $144.00