Medicaid Provider Spending

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

ELIZABETH M ESTRADA DDS PC

NPI: 1104599091 · CANOGA PARK, CA 91303 · Dental Clinic/Center · NPI assigned 07/27/2021

$58K
Total Medicaid Paid
1,125
Total Claims
1,077
Beneficiaries
8
Codes Billed
2022-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialESTRADA, ELIZABETH (CEO)
NPI Enumeration Date07/27/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 164 $8K
2023 352 $17K
2024 609 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 273 273 $18K
D1110 Prophylaxis - adult 171 171 $15K
D0210 Intraoral - complete series of radiographic images 193 193 $9K
D1206 Topical application of fluoride varnish 284 284 $5K
D4910 62 62 $5K
D4341 47 14 $3K
D9430 70 66 $2K
D0350 25 14 $240.00