Medicaid Provider Spending

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

DEEP MUKO DDS, INC.

NPI: 1104543792 · SAN JACINTO, CA 92583 · Dentist · NPI assigned 10/24/2022

$9K
Total Medicaid Paid
203
Total Claims
203
Beneficiaries
4
Codes Billed
2023-08
First Month
2024-06
Last Month

Provider Details

Authorized OfficialMUKO, DEEP (PRESIDENT)
NPI Enumeration Date10/24/2022

Related Entities

Other providers sharing the same authorized official: MUKO, DEEP

ProviderCityStateTotal Paid
DEEP MUKO DDS INC TEMECULA CA $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 40 $2K
2024 163 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 92 92 $6K
D0330 Panoramic radiographic image 37 37 $1K
D1206 Topical application of fluoride varnish 62 62 $1K
D1110 Prophylaxis - adult 12 12 $990.00